North Shore Vascular and Endovascular PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

207067 Issued in NY

Legal business name

NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC

Practice address

2001 Marcus Ave
Suite S50
New Hyde Park, NY 11042-1011

Phone

(516) 328-9800

Fax

(516) 328-9801

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Susan Hartmann

Title

Practice Administrator

Phone

(516) 328-9800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1144538331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE S50",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-328-9800",
            "fax_number": "516-328-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE S50",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-328-9800",
            "fax_number": "516-328-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "516-328-9800"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "207067",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "195038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Operative Surgery PC
• North Shore Periodontics, PC
• North Shore Podiatric Medicine & Surgery, P.C.
• North Shore Primary Care Medical Associates, PC
• North Shore University Hospital
• North Shore Vein PC
• North Shore-Lij Medical Group at Huntington PC
• Northern Obstetrics & Gynecology, PC
• George H Northrup, PH.D.
• Northshore/Lij Health System

• Vascular Surgery Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.