NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC


Address: 1500 Route 112, Port Jefferson Station, NY 11776-8054
Phone: 6318285555

NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC (NPI# 1982262903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982262903
Entity Type Organization
Organization Name NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC
Practice Address 1500 Route 112
Port Jefferson Station
NY 11776-8054
Mailing Address 444 Merrick Rd
Lynbrook
NY 11563-2460
Practice Telephone 6318285555
Practice Fax Number 6318285544
Mailing Telephone 5165362800
Mailing Fax Number 5165363947
Enumeration Date 2019-06-04
Last Update Date 2019-06-04
Authorized Official Name MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
Authorized Official Telephone 5163216058
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
Allopathic & Osteopathic Physicians
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
Allopathic & Osteopathic Physicians
N 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
ORLIN & COHEN MEDICAL SPECIALISTS GROUP Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013579580 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 222 E Middle Country Rd Ste 108, Smithtown, NY 11787-2814 2019-07-03
1184282139 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 788 Harrison Ave, Riverhead, NY 11901-2744 2019-06-04
1497255772 North Shore-lij Cardiovascular Medicine PC Physical Therapist 36 Lincoln Ave Fl 3, Rockville Centre, NY 11570-5768 2018-02-13
1013548999 North Shore-lij Cardiovascular Medicine PC Occupational Therapist 3311 Hylan Blvd, Staten Island, NY 10306-3611 2020-01-30
1265063499 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 3333 Hylan Blvd, Staten Island, NY 10306-3608 2020-01-27
1710518097 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 1099 Targee St, Staten Island, NY 10304-4310 2020-01-27
1639713563 North Shore-lij Cardiovascular Medicine PC Pain Medicine 1800 Walt Whitman Rd Ste 120, Melville, NY 11747-3237 2019-11-04
1285292201 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 635 Belle Terre Rd, Port Jefferson, NY 11777-1935 2019-06-04
1124686175 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 686 County Road 39a, Southampton, NY 11968-5703 2019-06-04
1760982870 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 1728 Sunrise Hwy, Merrick, NY 11566-3745 2018-02-15

Office Location

Street Address 1500 ROUTE 112
City PORT JEFFERSON STATION
State NY
Zip Code 11776-8054

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366446726 Jeffrey L Vacirca Internal Medicine 1500 Route 112, Bldg 4, Port Jefferson Station, NY 11776-8055 2005-06-13
1740807791 Sarah Lynn Frisina Audiologist 1500 Route 112, Building 4 Second Fl, Port Jefferson Station, NY 11776 2020-06-25
1881134815 Port Jefferson Asc, LLC Clinic/Center 1500 Route 112, Bldg 3, Port Jefferson Station, NY 11776 2017-02-23
1538533344 Jacqueline Schomber Psychologist 1500 Route 112, Bldg 6, Port Jefferson Station, NY 11776-8054 2015-11-17
1235551052 Long Island Digestive Endoscopy Center, LLC Clinic/Center 1500 Route 112, Bldg 5, Port Jefferson Station, NY 11776-8054 2014-01-14
1720326077 Away From Home Senior Day Care Custodial Care Facility 1500 Route 112, Building 6, Suite A, Port Jefferson Station, NY 11776-8054 2013-01-22
1053636431 Jennifer Marie Diaz Allergy & Immunology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2010-03-29
1689800633 Thomas P. Erhart Do PC Obstetrics & Gynecology 1500 Route 112, Bldg 11, Suite B, Port Jefferson Station, NY 11776-3060 2009-06-04
1851527972 Washington Park Women's Health PC Obstetrics & Gynecology 1500 Route 112, Bldg 11 Suite A, Port Jefferson Station, NY 11776-3060 2009-06-03
1871763508 Craig Michael Litman Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2008-03-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205304219 Melissa E Germano Acupuncturist 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 2018-11-07
1366962185 Michael Louis Scicchitano Sr. Physical Therapist 3 Colgate Street, Port Jefferson Station, NY 11776 2017-06-22
1063969517 Dana Adamkiewicz Acupuncturist 432 North Bicycle Path, Port Jefferson Station, NY 11776 2016-09-01
1538531819 Jacqueline Rambo Specialist 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 2015-10-26
1821474297 Michael Leuci Social Worker 3 Premier Court, Port Jefferson Station, NY 11776 2015-08-07
1578978078 Carol A. Palmer I Acupuncturist 34 Champlain St, Port Jefferson Station, NY 11776 2014-06-24
1659783371 Janette M Sperandeo Nurse Practitioner 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 2014-05-29
1578973079 James Buchrieser Specialist 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 2014-05-06
1871923227 Duran Thomas Murphy Licensed Practical Nurse 8 Carolyn Road, Port Jefferson Station, NY 11776 2013-11-22
1699104562 Julio Genao Massage Therapist 213 Jayne Blvd, Portjefferson Station, NY 11776 2013-11-01
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205890910 Andrew J Dowd Orthopaedic Surgery 5360 Nesconset Hwy, Suite A, Port Jefferson Station, NY 11776-2018 2006-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992330807 Ny Orthopedics PC Orthopaedic Surgery 110 Duane Street, New York, NY 10007 2020-03-11
1770117483 The Central Orthopedic Group L L P Orthopaedic Surgery 5840 Merrick Rd, Massapequa, NY 11758-6225 2020-03-03
1669006375 The Central Orthopedic Group L L P Orthopaedic Surgery 77 N Centre Ave Ste 210, Rockville Centre, NY 11570-3923 2020-03-03
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1649801440 Richard Allan Stram Orthopaedic Surgery 508 Murray Hill Rd, Vestal, NY 13850-3824 2020-01-30
1316594237 Motaz Abdulrahman Alaqeel Orthopaedic Surgery 504 E 63rd St Apt 6s, New York, NY 10065-7912 2019-08-26
1568017317 Trustees of Columbia University In The City of New York Orthopaedic Surgery 693 White Plains Rd, Eastchester, NY 10709 2019-08-08
1962064378 Simon Garceau Orthopaedic Surgery 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 2019-07-05
1528627866 New York Orthopedic Hip & Knee Associates LLP Orthopaedic Surgery 25 Apawamis Ave, Rye, NY 10580-3528 2019-06-11
1396207528 Ony Care of Ny II, LLC Orthopaedic Surgery 1131 Route 55 Ste 1b, Lagrangeville, NY 12540-5054 2019-04-05
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Competitor

Search similar providers

City PORT JEFFERSON STATION
Zip Code 11776

Improve Information

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Dataset Information

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.

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