Jacqueline M Moline (NPI# 1407835051, PAC ID# 4789729450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UNDEFINED PHYSICIAN TYPE (SPECIFY).
| Nation Provider ID (NPI) | 1407835051 |
| PAC ID by PECOS | 4789729450 |
| Professional Enrollment ID | I20100305000166 |
| Full Name | Jacqueline M Moline |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Address |
972 Brush Hollow Rd 3rd Floor Westbury NY 11590-1740 |
| Phone Number | 5168764100 |
| Gender | F |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 3620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| Address | Phone | Organization |
|---|---|---|
| 972 Brush Hollow Rd, 3rd Floor, Westbury, NY 11590-1740 | 5168764100 | NORTH SHORE-LIJ MEDICAL PC |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Physicians | 3634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Elizabeth Coletto | Nurse Practitioner | North Shore-lij Medical PC | 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013 |
| Grace E Berlin | Rheumatology | North Shore-lij Medical PC | 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338 |
| Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Calley Hannah Salomon Levine | Gastroenterology | North Shore-lij Medical PC | 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200 |
| Glenn Joseph Forrester | General Surgery | North Shore-lij Medical PC | 777 N Broadway, Sleepy Hollow, NY 10591-1000 |
| Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Pooja R Shah | Dermatology | North Shore-lij Medical PC | 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058 |
| Ayesha T Ali | Infectious Disease | North Shore-lij Medical PC | 500 W Main St, Babylon, NY 11702-3027 |
| Henny Liwan | Obstetrics/gynecology | North Shore-lij Medical PC | 404 Potter Blvd, Brightwaters, NY 11718-1830 |
| Perumal Thiyagarajan | Hospitalist | North Shore-lij Medical PC | 221 Jericho Turnpike, Syosset, NY 11791-4515 |
| Street Address |
972 BRUSH HOLLOW RD 3RD FLOOR |
| City | WESTBURY |
| State | NY |
| Zip | 11590-1740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Dipietro | Nurse Practitioner | North Shore-lij Medical PC | 972 Brush Hollow Rd, 3rd Floor, Westbury, NY 11590-1740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrence Tam | Anesthesiology | Northern Valley Anesthesiology, P.a. | 1500 Jericho Tpke, Westbury, NY 11590-1045 |
| Anthony T Pacia | Anesthesiology | Northern Valley Anesthesiology, P.a. | 1500 Jericho Tpke, Westbury, NY 11590-1045 |
| Steven Frank Macharola | Anesthesiology | Northern Valley Anesthesiology, P.a. | 1500 Jericho Tpke, Westbury, NY 11590-1045 |
| Michelle Diguglielmo | Anesthesiology | Northern Valley Anesthesiology, P.a. | 1500 Jericho Tpke, Westbury, NY 11590-1045 |
| Brad Marvin Litwak | Anesthesiology | Northern Valley Anesthesiology, P.a. | 1500 Jericho Tpke, Westbury, NY 11590-1045 |
| Ashutosh Gupta | Anesthesiology | Northern Valley Anesthesiology, P.a. | 1500 Jericho Tpke, Westbury, NY 11590-1045 |
| Tushar V Vani | Anesthesiology | Northern Valley Anesthesiology, P.a. | 1500 Jericho Tpke, Westbury, NY 11590-1045 |
| Isaac Alevi | Anesthesiology | Nassau Ambulatory Anesthesia Associates PC | 1500 Jericho Tpke, Westbury, NY 11590-1045 |
| Renato Battisti | Chiropractic | R Inter Chiropractic Pllc | 6 Marlboro Rd, Westbury, NY 11590-1215 |
| Justin Cole | Oral Surgery | Long Island Oral Surgery Associates, P.C. | 959 Brush Hollow Rd, Suite 102, Westbury, NY 11590-1711 |
| Find all physicians in zip 11590 | |||
| City | WESTBURY |
| Zip Code | 11590 |
| Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| City + Specialty | WESTBURY + UNDEFINED PHYSICIAN TYPE (SPECIFY) |
Please comment or provide details below to improve the information on Jacqueline M Moline.
| 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.