Tharun Shetty (NPI# 1578595328, PAC ID# 5597946558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578595328 |
| PAC ID by PECOS | 5597946558 |
| Professional Enrollment ID | I20110223000940 |
| Full Name | Tharun Shetty |
| Organization Legal Name | ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC |
| Address |
4625 Merrick Rd Massapequa NY 11758-6010 |
| Phone Number | 5167981116 |
| Gender | M |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3173412418 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 330332 | CHSLI ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4625 Merrick Rd, Massapequa, NY 11758-6010 | 5167981116 | ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC |
| 3541 Jerusalem Ave, Wantagh, NY 11793-2005 | 5167851707 | ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC |
| Organization Legal Name | ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian Kamath | Internal Medicine | Island Primary Medical Care Associates PC | 4625 Merrick Rd, Massapequa, NY 11758-6010 |
| Anil Maheshwari | Internal Medicine | Island Primary Medical Care Associates PC | 28 S Carll Ave, Babylon, NY 11702-3427 |
| Joseph V Adiyody | Internal Medicine | Island Primary Medical Care Associates PC | 28 S Carll Ave, Babylon, NY 11702-3427 |
| Sachin Kamath | Internal Medicine | Island Primary Medical Care Associates PC | 4625 Merrick Rd, Massapequa, NY 11758-6010 |
| Street Address |
4625 MERRICK RD |
| City | MASSAPEQUA |
| State | NY |
| Zip | 11758-6010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian Kamath | Internal Medicine | Island Primary Medical Care Associates PC | 4625 Merrick Rd, Massapequa, NY 11758-6010 |
| Sachin Kamath | Internal Medicine | Island Primary Medical Care Associates PC | 4625 Merrick Rd, Massapequa, NY 11758-6010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olena O Guzhva | Rheumatology | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 | |
| Steven A Gazzo | Physical Therapy | 200 Boundary Ave, Suite 205, Massapequa, NY 11758-1152 | |
| Ebenezer P Thangavelu | Nurse Practitioner | Long Island Medical Services P.C. | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 |
| Danielle R Mcloughlin | Nurse Practitioner | Long Island Medical Services P.C. | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 |
| Nancy Nimmiti | Nurse Practitioner | St Francis Cardiovascular Physicians PC | 510 Hicksville Rd, Massapequa, NY 11758-1203 |
| Troy Fabregas | Family Medicine | Island Family Medical Practice, PC | 848 Hicksville Rd, North Massapequa, NY 11758-1210 |
| Linda Deleo | Nurse Practitioner | Island Family Medical Practice, PC | 848 Hicksville Rd, North Massapequa, NY 11758-1210 |
| Dion Andrew Visconti | Chiropractic | 888 Hicksville Rd, North Massapequa, NY 11758-1215 | |
| Urszula G Brozek | Physical Therapy | 1148 Hicksville Rd, Massapequa, NY 11758-1256 | |
| Andrew M Margulies | Chiropractic | 1148 Hicksville Rd, Massapequa, NY 11758-1256 | |
| Find all physicians in zip 11758 | |||
| City | MASSAPEQUA |
| Zip Code | 11758 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MASSAPEQUA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tharun Shetty.
| 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.