Kimberly T Souffront (NPI# 1093845117, PAC ID# 5294814794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093845117 |
| PAC ID by PECOS | 5294814794 |
| Professional Enrollment ID | I20080508000827 |
| Full Name | Kimberly T Souffront |
| Organization Legal Name | NORTH SHORE LIJ URGENT CARE PC |
| Address |
801 Broadway Suite 100 Amityville NY 11701-2206 |
| Phone Number | 5167844486 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002131778 |
| Number of Group Practice Members | 156 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| Address | Phone | Organization |
|---|---|---|
| 801 Broadway, Suite 100, Amityville, NY 11701-2206 | 5167844486 | NORTH SHORE LIJ URGENT CARE PC |
| 2640 Merrick Rd, Bellmore, NY 11710-5715 | 5165379064 | NORTH SHORE LIJ URGENT CARE PC |
| Organization Legal Name | NORTH SHORE LIJ URGENT CARE PC |
| Physicians | 164 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Tabi | Family Medicine | North Shore Lij Urgent Care PC | 77 Quaker Ridge Rd, Suite 4, New Rochelle, NY 10804-2812 |
| Sunitha Korapati | Emergency Medicine | North Shore Lij Urgent Care PC | 30 Livingston Ave, Dobbs Ferry, NY 10522-2815 |
| Brent Wood Matza | Emergency Medicine | North Shore Lij Urgent Care PC | 176 3rd Ave, New York, NY 10003-2520 |
| Ellyse Cipriano | Physician Assistant | North Shore Lij Urgent Care PC | 603 E Main St, B, Bay Shore, NY 11706-8505 |
| Kaitlyn Krause | Physician Assistant | North Shore Lij Urgent Care PC | 5171-a Sunrise Hwy, Bohemia, NY 11716-4615 |
| Michael Green | Family Medicine | North Shore Lij Urgent Care PC | 655 White Plains Rd, Tarrytown, NY 10591-5105 |
| Dina M Rivera | Physician Assistant | North Shore Lij Urgent Care PC | 19 W Jericho Tpke, Huntington Station, NY 11746-3601 |
| Dennis Zaide | Internal Medicine | North Shore Lij Urgent Care PC | 199 Amsterdam Ave, New York, NY 10023-5024 |
| Luciano R Loseto | Physician Assistant | North Shore Lij Urgent Care PC | 595 Hempstead Tpke, Suite A, West Hempstead, NY 11552-1030 |
| Stephanie A Mercer | Physician Assistant | North Shore Lij Urgent Care PC | 1912 Jericho Tpke, East Northport, NY 11731-6207 |
| Street Address |
801 BROADWAY SUITE 100 |
| City | AMITYVILLE |
| State | NY |
| Zip | 11701-2206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse T Johnson Ii | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Dayna Morgan | Nurse Practitioner | Swedish Health Services | 801 Broadway, Suite 300, Seattle, WA 98122-4334 |
| Jason Kwang-go Lee | Vascular Surgery | Swedish Health Services | 801 Broadway, Suite 500, Seattle, WA 98122-4396 |
| Gregory A Grant | Podiatry | Swedish Health Services | 801 Broadway, Suite 901, Seattle, WA 98122-4328 |
| Ruth L Guevara | Family Medicine | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Vasile Oros | Physician Assistant | Proliance Surgeons, Inc., P.s. | 801 Broadway, Seattle, WA 98122-4319 |
| Jason Gerard Tonno | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Paul G Hayes | Vascular Surgery | Swedish Health Services | 801 Broadway, Suite 500, Seattle, WA 98122-4396 |
| Erik G Walter | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Janet Totari | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon D Deluca | Physical Therapy | Maximum Motion Physical Therapy Pllc | 565 Albany Ave, Amityville, NY 11701-1115 |
| Alyssa Febbraro | Physical Therapy | Maximum Motion Physical Therapy Pllc | 565 Albany Ave, Amityville, NY 11701-1115 |
| Joanne Walters | Clinical Social Worker | 585 Albany Ave, Apt 147, Amityville, NY 11701-1170 | |
| Jacqueline Rosario | Clinical Social Worker | 118 Kenneth Ct, Amityville, NY 11701-1557 | |
| Jorge L Gardyn | Internal Medicine | 618 Broadway, Amityville, NY 11701-2124 | |
| Jennifer M Steele | Emergency Medicine | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Jean A Menghini | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Marie S Fils-aime | Nurse Practitioner | The Long Island Home | 400 Sunrise Hwy, Amityville, NY 11701-2508 |
| Marian Shea | Nurse Practitioner | The Long Island Home | 400 Sunrise Hwy, Amityville, NY 11701-2508 |
| Iverine Anderson | Nurse Practitioner | The Long Island Home | 400 Sunrise Hwy, Amityville, NY 11701-2508 |
| Find all physicians in zip 11701 | |||
| City | AMITYVILLE |
| Zip Code | 11701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AMITYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly T Souffront.
| 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.