NORTH SHORE LONG ISLAND JEWISH HEALTHCARE INC. (NPI# 1972973600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972973600 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE LONG ISLAND JEWISH HEALTHCARE INC. |
| Other Organization Name | NORTH SHORE - LIJ NORTHERN WESTCHESTER HOSPITAL RADIOLOGISTS GROUP |
| Practice Address |
972 Brush Hollow Rd Westbury NY 11590-1740 |
| Mailing Address |
300 Community Dr Manhasset NY 11030-3816 |
| Practice Telephone | 5168766065 |
| Practice Fax Number | 5168765572 |
| Mailing Telephone | 5165624802 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | MR. ROBERT S SHAPIRO (EXECUTIVE VP & CFO) |
| Authorized Official Telephone | 5164658162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore - LIJ Northern Westchester Hospital Radiologists Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1710345962 | North Shore Long Island Jewish Healthcare Inc. | Obstetrics & Gynecology | 404 Potter Blvd, Brightwaters, NY 11718-1830 | 2016-02-03 |
| 1518323237 | North Shore Long Island Jewish Healthcare Inc. | Pediatrics | 1575 Broadway, Hewlett, NY 11557-1457 | 2016-01-11 |
| 1427428150 | North Shore Long Island Jewish Healthcare Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 972 Brush Hollow Rd, Finance - 5th Floor, Westbury, NY 11590-1740 | 2015-10-07 |
| Street Address |
972 BRUSH HOLLOW RD |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861464471 | North Shore University Hospital | Home Health | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2006-02-07 |
| 1427428150 | North Shore Long Island Jewish Healthcare Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 972 Brush Hollow Rd, Finance - 5th Floor, Westbury, NY 11590-1740 | 2015-10-07 |
| 1841673084 | North Shore Lij Children's Health Home | General Acute Care Hospital | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2015-07-07 |
| 1710257597 | Timothy Joseph Lopez | Internal Medicine | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2012-01-10 |
| 1326328188 | Lenox Hill Hospital Medical, PC | Allergy & Immunology | 972 Brush Hollow Rd, 5th Floor Finance - Attention William J. Fuchs, Westbury, NY 11590-1740 | 2011-08-25 |
| 1376841056 | North Shore University Hospital Ambulance | Ambulance | 972 Brush Hollow Rd, Finance 5th Floor, Westbury, NY 11590-1740 | 2011-03-04 |
| 1033416193 | North Shore University Hospital Ambulance | Ambulance | 972 Brush Hollow Rd, 5th Floor Finance, Westbury, NY 11590-1740 | 2011-02-24 |
| 1134356306 | Stefanie Ann Palesado | Nurse Practitioner | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2009-06-16 |
| 1043419047 | Anna Serur | Surgery | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2007-07-11 |
| 1376766733 | Roger Ej Tsai | Physical Therapist | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942620968 | Alex Chan | Radiology | 2007 Salisbury Park Dr, Westbury, NY 11590-6230 | 2014-04-17 |
| 1306137120 | Complete Radiology Reading Services, Pllc | Radiology | 400 Post Ave, Suite 104, Westbury, NY 11590-2289 | 2011-04-27 |
| 1851878409 | Nassau Open Mri PC | Radiology | 1570 Old Country Rd, Westbury, NY 11590-5238 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960690 | New York Medical Diagnostic Imaging PC | Radiology | 13617 39th Ave Ste 1d, Flushing, NY 11354-5504 | 2020-10-20 |
| 1700490034 | Hudson Valley Radiologists, PC | Radiology | 33 Bridgewater Way, Poughkeepsie, NY 12601-5961 | 2020-09-03 |
| 1730702986 | Hudson Valley Radiologists, PC | Radiology | 17 Argent Dr, Poughkeepsie, NY 12603-6040 | 2020-05-22 |
| 1114540366 | Hudson Valley Radiologists, PC | Radiology | 12 Caliguiri Ct, Lagrangeville, NY 12540-4912 | 2020-05-22 |
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1124641378 | Hudson Valley Radiologists, PC | Radiology | 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 | 2020-05-22 |
| 1023631272 | Hudson Valley Radiologists, PC | Radiology | 3 Riding Ridge Trl, Beacon, NY 12508-7023 | 2020-05-22 |
| 1740803998 | Hudson Valley Radiologists, PC | Radiology | 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 | 2020-05-22 |
| 1215550462 | Hudson Valley Radiologists, PC | Radiology | 50 Leonard St Unit 106, Beacon, NY 12508-3455 | 2020-05-22 |
| 1285257519 | Hudson Valley Radiologists, PC | Radiology | 14 Hilee Rd, Rhinebeck, NY 12572-2347 | 2020-05-21 |
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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.