Sunny Skye Keppel (NPI# 1932442779, PAC ID# 3971898081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1932442779 |
| PAC ID by PECOS | 3971898081 |
| Professional Enrollment ID | I20190910002777 |
| Full Name | Sunny Skye Keppel |
| Organization Legal Name | NORTH SHORE LIJ CARDIOLOGY AT DEER PARK PC |
| Address |
301 E Main St Bay Shore NY 11706-8408 |
| Phone Number | 6319683056 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4486879418 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 330043 | NS/LIJ HS SOUTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 E Main St, Bay Shore, NY 11706-8408 | 6319683056 | NORTH SHORE LIJ CARDIOLOGY AT DEER PARK PC |
| 1630 Deer Park Ave, Deer Park, NY 11729-5210 | 6312426166 | NORTH SHORE LIJ CARDIOLOGY AT DEER PARK PC |
| Organization Legal Name | NORTH SHORE LIJ CARDIOLOGY AT DEER PARK PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica M Votra | Nurse Practitioner | North Shore Lij Cardiology At Deer Park PC | 1630 Deer Park Ave, Deer Park, NY 11729-5210 |
| Jeffrey William Lawrence | Physician Assistant | North Shore Lij Cardiology At Deer Park PC | 200 W Main St, Suite 203, Babylon, NY 11702-3510 |
| Street Address |
301 E MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip | 11706-8408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coleen A Ryan-frank | Nurse Practitioner | North Shore-lij Medical PC | 301 E Main St, 2 North, Bay Shore, NY 11706-8408 |
| Melissa S Devlin | Critical Care (intensivists) | North Shore-lij Medical PC | 301 E Main St, Bay Shore, NY 11706-8408 |
| Saurabh Chandra | Critical Care (intensivists) | North Shore-lij Medical PC | 301 E Main St, Bay Shore, NY 11706-8408 |
| Stephen A Margolnick | Certified Registered Nurse Anesthetist (crna) | North Shore-lij Anesthesiology PC | 301 E Main St, Bay Shore, NY 11706-8408 |
| Matthew D Schwartz | Emergency Medicine | North Shore-lij Medical PC | 301 E Main St, Bay Shore, NY 11706-8408 |
| Christopher Guszack | Emergency Medicine | North Shore-lij Medical PC | 301 E Main St, Bldg 211 17, Bay Shore, NY 11706-8408 |
| William Onyebeke | Obstetrics/gynecology | North Shore-lij Medical PC | 301 E Main St, Bay Shore, NY 11706-8408 |
| Maureen Delre | Anesthesiology | North Shore-lij Anesthesiology PC | 301 E Main St, Bay Shore, NY 11706-8408 |
| Carlos Alcala | Anesthesiology | North Shore-lij Anesthesiology PC | 301 E Main St, Bay Shore, NY 11706-8408 |
| Jonathan C Winick | Neurology | North Shore-lij Medical PC | 301 E Main St, 2 North, Bay Shore, NY 11706-8408 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joelle M Efthimiou | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Michael I Friedman | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Jennifer L Mcdonough | Clinical Social Worker | Laura E Asner Csw PC | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| William C Skojec | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Tyra D Gonzalez | Clinical Social Worker | Laura E Asner Csw PC | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Amber Testa | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Lisa G Baron | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Laura E Asner | Clinical Social Worker | Laura E Asner Csw PC | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Arthur Sullivan | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Philip D Goldstein | Clinical Psychologist | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Find all physicians in zip 11706 | |||
| City | BAY SHORE |
| Zip Code | 11706 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | BAY SHORE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Sunny Skye Keppel.
| 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.