NPIMap

Organization Active NPI

Nassau Emergency Medicine, P.C.

  • Emergency Medicine Physician
  • Roslyn, NY
National Provider Identifier
1164579942
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NASSAU EMERGENCY MEDICINE, P.C.
Practice address
100 Port Washington Blvd
Dept. of Emergency Medicine
Roslyn, NY 11576-1353
Phone
(516) 629-2454
Fax
(516) 629-2027
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Mark Hoornstra, M.D.
Title
President & Chief Executive Officer
Phone
(516) 562-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

100 Port Washington Blvd
Dept. of Emergency Medicine
Roslyn, NY 11576-1353

Mailing address

PO Box 1470
Port Washington, NY 11050-7470
Phone (516) 629-2454

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1164579942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110507470",
            "telephone_number": "516-629-2454",
            "fax_number": "516-629-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "address_2": "DEPT. OF EMERGENCY MEDICINE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-629-2454",
            "fax_number": "516-629-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU EMERGENCY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "HOORNSTRA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "516-562-6605",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.