Northshore Hospitalist Associates PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHSHORE HOSPITALIST ASSOCIATES PLLC

Practice address

27 Magnolia LN
Roslyn Heights, NY 11577-1507

Phone

(347) 575-7180

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Rostislav TabakNPI 1902103823

Title

MD

Phone

(347) 575-7180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hein Htet, D.O.

  • Hospitalist Physician
  • Lake Success, NY
  • NPI 1083903041
  Medicare reassignment Care Compare group NPD
• Rostislav Tabak, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1902103823
  Medicare reassignment NPD Authorized official
• Qian Yang, DO

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1639437585
  Medicare reassignment Care Compare group NPD
• Bijan Zisman, M.D.

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1164716510

  Multi-Specialty

  NPD
• Amy E Clarke, PA

  • Physician Assistant
  • Roslyn, NY
  • NPI 1558545459
  NPD (past)
• Adrienne G Grande, PA

  • Physician Assistant
  • Roslyn, NY
  • NPI 1992991210
  NPD (past)
• Leyla Kerimova, DO

  • Emergency Medicine Physician
  • Roslyn, NY
  • NPI 1790340818
  NPD (past)
• Steven Lam, RPA-C

  • Surgical Physician Assistant
  • New York, NY
  • NPI 1215051982
  NPD (past)
• Douglas Michael Luxenberg, D.O.

  • Pediatric Cardiology Physician
  • Roslyn, NY
  • NPI 1255343281
  NPD (past)
• Dionisios G Mihalatos, M.D.

  • Cardiovascular Disease Physician
  • Roslyn, NY
  • NPI 1467567529
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1104609221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MAGNOLIA LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MAGNOLIA LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771507",
            "telephone_number": "347-575-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE HOSPITALIST ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "TABAK",
        "authorized_official_first_name": "ROSTISLAV",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-575-7180"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Counseling and LCSW Services PC
• North Shore Geriatric Psychiatry
• North Shore Learning
• North Shore Occupational Therapy
• North Shore Physical Medicine and Rehabilitation Services, PC
• Brooke Novick, LMFT
• Sondra Beth Nussbaum, MS CCC SLP
• Nutrosun LLC
• NYU Langone Hospitals
• Lucien Octavien

• Internal Medicine Physician in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.