Matthew E Klics (NPI# 1972057529, PAC ID# 2860771292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972057529 |
| PAC ID by PECOS | 2860771292 |
| Professional Enrollment ID | I20161108000674 |
| Full Name | Matthew E Klics |
| Organization Legal Name | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Address |
36 Lincoln Ave Rockville Centre NY 11570-5768 |
| Phone Number | 5165362800 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012194806 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1977 | 6314740008 | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| 788 Harrison Ave, Riverhead, NY 11901-2744 | 6315913801 | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 5165362800 | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Organization Legal Name | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Physicians | 94 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas John Denapoli | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 1728 Sunrise Hwy, Merrick, NY 11566-3745 |
| Gregory C Mallo | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 686 County Route, 39a, Southampton, NY 11968-5703 |
| Scott J Koenig | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 123 Maple Ave, Cedarhurst, NY 11516-2240 |
| Jill Byrnes | Physical Therapy | North Shore-lij Cardiovascular Medicine PC | 660 Broadway, Massapequa, NY 11758-2391 |
| Jared A Kipnis | Physical Therapy | North Shore-lij Cardiovascular Medicine PC | 1101 Stewart Ave, Suite 100, Garden City, NY 11530-4833 |
| Neal Smith | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 |
| Charles J Ferrer | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 |
| Tara Congimi | Occupational Therapy | North Shore-lij Cardiovascular Medicine PC | 444 Merrick Rd, Lynbrook, NY 11563-2460 |
| David I Zaret | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 3480 Veterans Memorial Hwy, Bohemia, NY 11716-1068 |
| Philip Lloyd Schrank | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 1101 Stewart Ave, Suite 100, Garden City, NY 11530-4833 |
| Street Address |
36 LINCOLN AVE |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip | 11570-5768 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles J Ferrer | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 |
| Michael Joseph Suzzi Valli | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 |
| Christopher Sorce Sorce | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 |
| Daniel Fain | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 |
| Eric R Mesecke | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 |
| Andrew A Tarleton | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Fl 3, Rockville Centre, NY 11570-5768 |
| Humayun Waheed | Plastic and Reconstructive Surgery | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | |
| Scott M Schneider | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 |
| Robert Fisch | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Fl 3, Rockville Centre, NY 11570-5768 |
| Khawaja Ali Hassan | Plastic and Reconstructive Surgery | 36 Lincoln Ave, Suite 103, Rockville Centre, NY 11570-5768 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danniya Samuel | Physician Assistant | Mercy Medical Center | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| David Weinstock | Cardiovascular Disease (cardiology) | Mercy Internal Medicine PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Syed A Kamal | Hospitalist | Southwest Suffolk Medical, P.C. | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Marylou Hernandez | Physician Assistant | Samaritan Medical Services PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Evelyn Morales | Physician Assistant | Samaritan Medical Services PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Garrett W Moss | Orthopedic Surgery | Chs Physician Partners PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Jonathan W Moresco | Anesthesiology | Long Island Anesthesia Physicians LLP | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Lawrence M Rand | Internal Medicine | Chs Physician Partners PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Zeba Memon | Physician Assistant | Mercy Medical Center | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Timothy P Ryan | Physician Assistant | Samaritan Medical Services PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Find all physicians in zip 11570 | |||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROCKVILLE CENTRE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Matthew E Klics.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.