LONG ISLAND WOMEN'S HEALTH CARE GROUP, PC (NPI# 1801077193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801077193 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND WOMEN'S HEALTH CARE GROUP, PC |
| Practice Address |
173 Mineola Blvd Suite 200-202 Mineola NY 11501-2528 |
| Practice Telephone | 5167414321 |
| Practice Fax Number | 5165351332 |
| Mailing Telephone | 5167414321 |
| Mailing Fax Number | 5165351332 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | DR. GARY MORTON LEVINE (PRESIDENT) |
| Authorized Official Telephone | 5167414321 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 1248511 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1740486372 | 01 |
| NY | NPI | 1821249574 | 01 |
| NY | NPI | 1780753830 | 01 |
| NY | NPI | 1255418786 | 01 |
| NY | NPI | 1902977796 | 01 |
| Street Address |
173 MINEOLA BLVD SUITE 200-202 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851082 | John A Lanzone | Specialist | 173 Mineola Blvd, Ste 406, Mineola, NY 11501-2555 | 2005-06-20 |
| 1851824544 | Country Foot Care Podiatry | Podiatrist | 173 Mineola Blvd, Suite 201, Mineola, NY 11501-2528 | 2017-04-10 |
| 1053776096 | Country Foot Care Podiatry Pllc | Podiatrist | 173 Mineola Blvd, Suite 201, Mineola, NY 11501-2528 | 2015-12-17 |
| 1548647803 | Michael Scoma Medical PC | Internal Medicine | 173 Mineola Blvd, Suite 401a, Mineola, NY 11501-2555 | 2015-05-06 |
| 1235533993 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Psychiatry & Neurology | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2014-10-09 |
| 1982007654 | Scoma Medical Group Pllc | Internal Medicine | 173 Mineola Blvd, Suite 401a, Mineola, NY 11501-2528 | 2014-10-08 |
| 1184935645 | Gabrielle Marie Chassagne | Psychiatry & Neurology | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2010-06-29 |
| 1215167390 | Michael Robert Scoma | Internal Medicine | 173 Mineola Blvd, Suite 401a, Mineola, NY 11501-2528 | 2009-07-22 |
| 1033380563 | Frank A. Monteleone, M.d.,p.c. | General Practice | 173 Mineola Blvd, Suite 203, Mineola, NY 11501-2528 | 2008-03-12 |
| 1689895328 | Tami L Lambert | Nurse Practitioner | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2007-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164935276 | 300 Old Country Road Medical Pllc | Obstetrics & Gynecology | 300 Old Country Rd Ste 201, Mineola, NY 11501-4199 | 2017-11-10 |
| 1063760551 | Hye In Park | Obstetrics & Gynecology | 2 Birchwood Ct, Apt # 3b, Mineola, NY 11501-4525 | 2012-08-15 |
| 1053668962 | Veronica Rojas | Obstetrics & Gynecology | 259 1st St Dept Ob, Mineola, NY 11501-3957 | 2012-08-09 |
| 1619239001 | Cheryl Dinglas | Obstetrics & Gynecology | 259 1st St Lowr Level, Mineola, NY 11501-3957 | 2012-06-12 |
| 1255418786 | Lydia Valderrama-kunion | Obstetrics & Gynecology | 173 Mineola Blvd Ste 200, Mineola, NY 11501-2530 | 2006-11-01 |
| 1831273200 | Robert Ward Nadel | Obstetrics & Gynecology | 376 1st St, Mineola, NY 11501-3737 | 2006-10-24 |
| 1962465963 | Cara H Lieberman | Obstetrics & Gynecology | 135 Mineola Blvd, Mineola, NY 11501-3917 | 2006-04-10 |
| 1801885835 | Paul Byrne | Obstetrics & Gynecology | 300 Old Country Rd Ste 400, Mineola, NY 11501-4112 | 2005-10-21 |
| 1609869734 | Valerie Cucco | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4073 | 2005-08-24 |
| 1558711135 | Roseanna Miller | Obstetrics & Gynecology | 300 Old Country Rd Ste 400, Mineola, NY 11501-4112 | 2016-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.