Bruce R Mayerson (NPI# 1477657666, PAC ID# 8325028863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1477657666 |
| PAC ID by PECOS | 8325028863 |
| Professional Enrollment ID | I20040723000893 |
| Full Name | Bruce R Mayerson |
| Organization Legal Name | CHS PHYSICIAN PARTNERS PC |
| Address |
45 Terry Rd Suite A Smithtown NY 11787-3894 |
| Phone Number | 6312654485 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1996 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 7618955667 |
| Number of Group Practice Members | 313 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| 330246 | ST CHARLES HOSPITAL |
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 45 Terry Rd, Suite A, Smithtown, NY 11787-3894 | 6312654485 | CHS PHYSICIAN PARTNERS PC |
| Organization Legal Name | CHS PHYSICIAN PARTNERS PC |
| Physicians | 255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Nicholas Vavilis | Endocrinology | Chs Physician Partners PC | 79 Deer Park Ave, Babylon, NY 11702-2839 |
| Prince N Singh | Nurse Practitioner | Chs Physician Partners PC | 30 E Sunrise Hwy, Valley Stream, NY 11581-1220 |
| Jennifer L Chiang | Nurse Practitioner | Chs Physician Partners PC | 2053 Bellmore Ave, Bellmore, NY 11710-5603 |
| Justin S Margolis | Vascular Surgery | Chs Physician Partners PC | 300 E Main St, Suite 2, Smithtown, NY 11787-2900 |
| Elizabeth Baynes | Nurse Practitioner | Chs Physician Partners PC | 1490 Broadway, Hewlett, NY 11557-1432 |
| Jessica Mennella | Nurse Practitioner | Chs Physician Partners PC | 101 Northern Blvd, Greenvale, NY 11548-1340 |
| Terri Piezzo | Nurse Practitioner | Chs Physician Partners PC | 502 S Wellwood Ave, Lindenhurst, NY 11757-4925 |
| Aimee Q Cowan | Cardiovascular Disease (cardiology) | Chs Physician Partners PC | 79 24 Jamaica Ave, Woodhaven, NY 11421 |
| Sudha Mukhi | Hematology/oncology | Chs Physician Partners PC | 435 Montauk Hwy, West Islip, NY 11795-4413 |
| Jay L Bosworth | Radiation Oncology | Chs Physician Partners PC | 700 Stewart Ave, Garden City, NY 11530-4721 |
| Street Address |
45 TERRY RD SUITE A |
| City | SMITHTOWN |
| State | NY |
| Zip | 11787-3894 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Schenley Que | Psychiatry | Chs Physician Partners PC | 45 Terry Rd, Suite A, Smithtown, NY 11787-3894 |
| Shawn Tsekhan | Neurology | Chs Physician Partners PC | 45 Terry Rd, Suite A, Smithtown, NY 11787-3894 |
| Tal Mednick | Psychiatry | Chs Physician Partners PC | 45 Terry Rd, Suite A, Smithtown, NY 11787-3894 |
| Richard Pearl | Neurology | St Francis Cardiovascular Physicians PC | 45 Terry Rd, Suite A, Smithtown, NY 11787-3894 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronak T Shah | Pulmonary Disease | Stony Brook Internists, University Faculty Practice Corporation | 240 Middle Country Rd, Smithtown, NY 11787 |
| Haidee Ganz-bonhurst | Physical Therapy | 50 Route 111, Suite 103, Smithtown, NY 11787 | |
| Paula Pagan-rosas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Rosemary D Cabanillas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Angela R Cammarata | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Edward D Smith Iii | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Theresa A Keane | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Jennifer Michelle Digiovanni | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Joanne M Varrichio | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Colleen J Kalman | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Find all physicians in zip 11787 | |||
| City | SMITHTOWN |
| Zip Code | 11787 |
| Specialty | NEUROLOGY |
| City + Specialty | SMITHTOWN + NEUROLOGY |
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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.