Organization Active NPI

North Shore Ear, Nose and Throat, PC

  • Otolaryngology Physician
  • New Hyde Park, NY
National Provider Identifier
1013173475
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
NORTH SHORE EAR, NOSE AND THROAT, PC
Practice address
2001 Marcus Ave Ste S10
New Hyde Park, NY 11042-1078
Phone
(516) 627-7100
Fax
(516) 627-7105
NPI assigned
Aug 4, 2008
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alexander Sorin, M.D,NPI 1922068626
Title
President
Phone
(516) 627-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2001 Marcus Ave Ste S10
New Hyde Park, NY 11042-1078

Mailing address

2001 Marcus Ave Ste S10
New Hyde Park, NY 11042-1078
Phone (516) 627-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000662 NY Part B Supplier - Clinic/Group Practice 2961561956 Receives reassigned benefits from 1 practitioner
Practice locations: Greenvale, NY; Manhasset, NY; Mineola, NY; New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

2200 Northern Blvd
Ste 110D
Greenvale, NY 11548
Phone (516) 243-8521

1165 Northern Blvd
Ste 202
Manhasset, NY 11030
Phone (516) 667-4331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1013173475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE S10",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421078",
            "telephone_number": "516-627-7100",
            "fax_number": "516-627-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE S10",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421078",
            "telephone_number": "516-627-7100",
            "fax_number": "516-627-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE EAR, NOSE AND THROAT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "SORIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-627-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.