Scott J Koenig (NPI# 1003076365, PAC ID# 5092957050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1003076365 |
| PAC ID by PECOS | 5092957050 |
| Professional Enrollment ID | I20140418000321 |
| Full Name | Scott J Koenig |
| Organization Legal Name | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Address |
123 Maple Ave Cedarhurst NY 11516-2240 |
| Phone Number | 5165362800 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7012194806 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| Address | Phone | Organization |
|---|---|---|
| 123 Maple Ave, Cedarhurst, NY 11516-2240 | 5165362800 | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 5164228080 | 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 |
| 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 |
| Kenneth Nissen | Nurse Practitioner | North Shore-lij Cardiovascular Medicine PC | 900 Franklin Ave, Valley Stream, NY 11580-2145 |
| Street Address |
123 MAPLE AVE |
| City | CEDARHURST |
| State | NY |
| Zip | 11516-2240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua T Mitgang | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 123 Maple Ave, Cedarhurst, NY 11516-2240 |
| Carl B Friedman | Internal Medicine | 123 Maple Ave, Suite 203, Cedarhurst, NY 11516-2240 | |
| Mark Stephen | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 123 Maple Ave, Cedarhurst, NY 11516-2240 |
| Marc Jason Ostreicher | Internal Medicine | 123 Maple Ave, Suite 202, Cedarhurst, NY 11516-2240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Sparacio | Physician Assistant | Hewlett Urgent Care Pllc | 380 Rockaway Tpke, Cedarhurst, NY 11516-1122 |
| Sanjida S Cabot | General Practice | Hewlett Urgent Care Pllc | 380 Rockaway Tpke, Cedarhurst, NY 11516-1122 |
| Svetlana Kulangiyev | Physician Assistant | Hewlett Urgent Care Pllc | 380 Rockaway Tpke, Cedarhurst, NY 11516-1122 |
| Lisa D Barnett | Clinical Social Worker | 207 Grove Ave, Cedarhurst, NY 11516-1715 | |
| Hanan G Miller | Internal Medicine | 395 Unit D Pearsall Ave, Cedarhurst, NY 11516-1815 | |
| Shoshanah E Kahn | Cardiovascular Disease (cardiology) | 222 Rockaway Tpke, Suite 2, Cedarhurst, NY 11516-1833 | |
| Jay K Mehlman | Internal Medicine | 222 Rockaway Tpke, Cedarhurst, NY 11516-1833 | |
| Linda Ingber | Physical Therapy | 67 Carman Ave, Cedarhurst, NY 11516-1904 | |
| Jason Bernstein | Physical Therapy | 67 Carman Ave, Cedarhurst, NY 11516-1904 | |
| Ronald Brenner | Psychiatry | 74 Carman Ave, Cedarhurst, NY 11516-1905 | |
| Find all physicians in zip 11516 | |||
| City | CEDARHURST |
| Zip Code | 11516 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CEDARHURST + ORTHOPEDIC SURGERY |
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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.