Khalid Noori (NPI# 1023106838, PAC ID# 6103924378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023106838 |
| PAC ID by PECOS | 6103924378 |
| Professional Enrollment ID | I20070612000320 |
| Full Name | Khalid Noori |
| Organization Legal Name | LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC |
| Address |
1600 Deer Park Ave Deer Park NY 11729-5208 |
| Phone Number | 6316670388 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678731908 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| 330332 | CHSLI ST JOSEPH HOSPITAL |
| 330182 | ST FRANCIS HOSPITAL - THE HEART CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1600 Deer Park Ave, Deer Park, NY 11729-5208 | 6316670388 | LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC |
| 382 Rosevale Ave, Ronkonkoma, NY 11779-3069 | 6316670388 | LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC |
| Organization Legal Name | LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicolle A Bergin | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Uma Narayana | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 15 Saint Pauls Pl, Great Neck, NY 11021-2636 |
| Hiral Patel | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Nycholle Gavilanes | Internal Medicine | Long Island Comprehensive Medical Care Pllc | 382 Rosevale Ave, Ronkonkoma, NY 11779-3069 |
| Gina Ferland | Physician Assistant | Long Island Comprehensive Medical Care Pllc | 1600 Deer Park Ave, Deer Park, NY 11729-5208 |
| Jason L Schneider | General Surgery | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Mark Baginski | Internal Medicine | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Amy Wenz | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Joseph Chandrankunnel | Internal Medicine | Long Island Comprehensive Medical Care Pllc | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Jae Woo Chung | Podiatry | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Street Address |
1600 DEER PARK AVE |
| City | DEER PARK |
| State | NY |
| Zip | 11729-5208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Ferland | Physician Assistant | Long Island Comprehensive Medical Care Pllc | 1600 Deer Park Ave, Deer Park, NY 11729-5208 |
| Chetan Sati | Family Medicine | Long Island Comprehensive Medical Care Pllc | 1600 Deer Park Ave, Deer Park, NY 11729-5208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Rosenhouse | Physical Therapy | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | |
| Charles Ruotolo | Orthopedic Surgery | Orthopaedics Spine and Sports Medicine LLC | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Diana M Salgado | Physician Assistant | Mark Medical Care, Pllc | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Rocio A Romero | Physician Assistant | Mark Medical Care, Pllc | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Salvatore R Principe | Chiropractic | 420 Old Country Rd, Deer Park, NY 11729-1322 | |
| Paul P Tchao | Internal Medicine | 2043 Deer Park Ave, Deer Park, NY 11729-2110 | |
| Jack Nass | Psychiatry | 2100 Deer Park Ave, Suite 8, Deer Park, NY 11729-2119 | |
| Marta Teresa Silva | Psychologist, Clinical | 2100 Deer Park Ave, Suite 7, Deer Park, NY 11729-2119 | |
| Francine Dimaria | Family Medicine | 2090 Deer Park Ave, Deer Park, NY 11729-2129 | |
| Jeanine H Goldsmith | Clinical Social Worker | 2070 Deer Park Ave, Suite D, Deer Park, NY 11729-2134 | |
| Find all physicians in zip 11729 | |||
| City | DEER PARK |
| Zip Code | 11729 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DEER PARK + INTERNAL MEDICINE |
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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.