Smitha M Thotam (NPI# 1629262639, PAC ID# 3173790730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629262639 |
| PAC ID by PECOS | 3173790730 |
| Professional Enrollment ID | I20120123000246 |
| Full Name | Smitha M Thotam |
| Organization Legal Name | SOUTH SHORE NEUROLOGIC ASSOCIATES, PC |
| Address |
877 E Main St Suite 106 Riverhead NY 11901-2521 |
| Phone Number | 6317270660 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092602110 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 877 E Main St, Suite 106, Riverhead, NY 11901-2521 | 6317270660 | SOUTH SHORE NEUROLOGIC ASSOCIATES, PC |
| Organization Legal Name | SOUTH SHORE NEUROLOGIC ASSOCIATES, PC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Mangels | Chiropractic | South Shore Neurologic Associates, PC | 877 E Main St, Suite 106, Riverhead, NY 11901-2521 |
| Imran Wahedna | Neurology | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Myassar Zarif | Neurology | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Stephanie Lauren Vanschaick | Physical Therapy | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Selina A Williams | Nurse Practitioner | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Edward Firouztale | Neurology | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Barbara Bumstead | Nurse Practitioner | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Elissa H Kravis | Nurse Practitioner | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Hos C Loftus | Neurology | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Khondeker M Rahman | Anesthesiology | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Street Address |
877 E MAIN ST SUITE 106 |
| City | RIVERHEAD |
| State | NY |
| Zip | 11901-2521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Mangels | Chiropractic | South Shore Neurologic Associates, PC | 877 E Main St, Suite 106, Riverhead, NY 11901-2521 |
| Elina Rukhlin | Physical Therapy | South Shore Neurologic Associates, PC | 877 E Main St, Suite 106, Riverhead, NY 11901-2521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Olujimi | Orthopedic Surgery | Peconic Bay Primary Medical Care PC | 64 Commerce Dr, Riverhaed, NY 11901 |
| Afzal M Butt | Internal Medicine | Peconic Bay Primary Medical Care PC | 34 Commerce Dr, Riverhaed, NY 11901 |
| Maryann Larosa | Clinical Social Worker | Opo 21 W 2nd St, Suite 16, Riverhead, NY 11901-1930 | |
| Lizbeth Jansen | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Tiffany C Hunter | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Riverhead, NY 11901-1953 |
| Barbara Gredysa | Endocrinology | 31 Main Rd, Suite 2, Riverhead, NY 11901-1953 | |
| Zeinab Fath El Bab | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Suite 7, Riverhead, NY 11901-1953 |
| David Kuck | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Scott Z Czujko | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Andrew H Nataloni | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Riverhead, NY 11901-1953 |
| Find all physicians in zip 11901 | |||
| City | RIVERHEAD |
| Zip Code | 11901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RIVERHEAD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Smitha M Thotam.
| 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.