Hayley Queller (NPI# 1962537175, PAC ID# 3678631694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1962537175 |
| PAC ID by PECOS | 3678631694 |
| Professional Enrollment ID | I20100112000395 |
| Full Name | Hayley Queller |
| Organization Legal Name | ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC |
| Address |
500 Commack Rd Unit 150 Commack NY 11725-5009 |
| Phone Number | 6316896698 |
| Gender | F |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE, SPORTS MEDICINE |
| Group Practice PAC ID | 6204169147 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330246 | ST CHARLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Commack Rd, Unit 150, Commack, NY 11725-5009 | 6316896698 | ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC |
| 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 | 6316896698 | ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC |
| Organization Legal Name | ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Harary | Family Medicine | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 60 Fleets Point Dr, Suite 1, West Babylon, NY 11704-8314 |
| Michael Sileo | Orthopedic Surgery | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Christopher Mileto | Orthopedic Surgery | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 60 Fleets Point Dr, Suite 1, West Babylon, NY 11704-8314 |
| Brian G Kincaid Jr. | Hand Surgery | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 285 Sills Rd, Bldg 18, East Patchogue, NY 11772-4808 |
| Richard E Georges | Physician Assistant | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Alyssa G Nordmann | Physician Assistant | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Mudasser R Javed | Podiatry | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Betty J Poulos | Physical Therapy | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 285 Sills Rd, Bldg 5 6, East Patchogue, NY 11772-4869 |
| Timothy S Lozier | Physician Assistant | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Alison Gernhart | Physician Assistant | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Street Address |
500 COMMACK RD UNIT 150 |
| City | COMMACK |
| State | NY |
| Zip | 11725-5009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline N Parrotta | Ophthalmology | Stony Brook Ophthalmology, University Faculty Practice Corporation | 500 Commack Rd, Commack, NY 11725-5020 |
| Stacy M Scofield-kaplan | Ophthalmology | Stony Brook Ophthalmology, University Faculty Practice Corporation | 500 Commack Rd, Commack, NY 11725-5020 |
| Muhammad K Perwaiz | Critical Care (intensivists) | Chs Physician Partners PC | 500 Commack Rd, Unit 150d, Commack, NY 11725-5009 |
| Danielle N Degiorgio | Physical Medicine and Rehabilitation | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 500 Commack Rd, Unit 150, Commack, NY 11725-5009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen M Schnaue-constantouris | Podiatry | 69 Veterans Memorial Highway, Suite 1, Commack, NY 11725 | |
| Jill Sisselman | Family Medicine | Sisselman Medical Group PC | 2171 Jericho Turnpike, Suite 135, Commack, NY 11725 |
| Catherine Gerontis | Ophthalmology | C Corina Gerontis Md PC | 353 Veterams Mem Hwy 102, Commack, NY 11725 |
| Stephen G Sisselman | Internal Medicine | Sisselman Medical Group PC | 2171 Jericho Turnpike, Suite 135, Commack, NY 11725 |
| Denise Ferrazano | Clinical Social Worker | 139 Hayrick Ln, Commack, NY 11725-1520 | |
| Michael Ditkowsky | Optometry | 34 Wenmore Rd, Commack, NY 11725-1638 | |
| Cecilia Capuano King | Podiatry | 52 Roosevelt Ave, Commack, NY 11725-1733 | |
| Alan David Kaplan | Psychologist, Clinical | 40 Annandale Rd, Commack, NY 11725-1745 | |
| Robin A Kaplan | Clinical Social Worker | 40 Annandale Rd, Commack, NY 11725-1745 | |
| Luis Maldonado | Psychiatry | 42 Fleetwood Rd, Commack, NY 11725-1760 | |
| Find all physicians in zip 11725 | |||
| City | COMMACK |
| Zip Code | 11725 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COMMACK + INTERNAL MEDICINE |
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| 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.