Jason M Andrus (NPI# 1629148713, PAC ID# 5799785770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1629148713 |
| PAC ID by PECOS | 5799785770 |
| Professional Enrollment ID | I20150108001051 |
| Full Name | Jason M Andrus |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Address |
75 -59 Glen Oaks NY 11004-1150 |
| Phone Number | 7184708100 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 3620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330195 | NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 75 -59, Glen Oaks, NY 11004-1150 | 7184708100 | NORTH SHORE-LIJ MEDICAL PC |
| 400 E Main St, Mount Kisco, NY 10549-3417 | NORTHERN WESTCHESTER HOSPITAL ASSOCIATION | |
| 400 E Main St, Nutritional Services Dept, Mt Kisco, NY 10549-3417 | 9146661465 | NORTHERN WESTCHESTER HOSPITAL ASSOCIATION |
| 400 E Main St 4th Floor, Observation Unit, Mt Kisco, NY 10549-3417 | 9142428318 | NORTHERN WESTCHESTER HOSPITAL ASSOCIATION |
| 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 |
75 -59 |
| City | GLEN OAKS |
| State | NY |
| Zip | 11004-1150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Q Young | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Delbert G Robinson | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Christopher Bulanowski | Hospitalist | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Anna K Costakis | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Xiaowei Sun | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Juan A Gallego | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Srinagesh Mannekote-thippaiah | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Richard Yeh | Hospitalist | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Matan Halpern | Hospitalist | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Amanda Harris | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam D Fiterstein | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 255 Union Tpke, Glen Oaks, NY 11004 |
| Justin D Mazur | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 255 Union Tpke, Glen Oaks, NY 11004 |
| Mark J Aronson | Podiatry | 7651 263rd St, Floral Park, NY 11004-1142 | |
| Stewart D Lipner | Psychologist, Clinical | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Virginia B Coman | Nurse Practitioner | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Eric L Chen | Hospitalist | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Delores B Foster | Nurse Practitioner | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Robert Dicker | Psychiatry | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Paulo Estioko | Psychiatry | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Karen M Kostroff | Surgical Oncology | 75 -59, Glen Oaks, NY 11004-1150 | |
| Find all physicians in zip 11004 | |||
| City | GLEN OAKS |
| Zip Code | 11004 |
| Specialty | PSYCHIATRY |
| City + Specialty | GLEN OAKS + PSYCHIATRY |
Please comment or provide details below to improve the information on Jason M Andrus.
| 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.