North Coast Internal Medicine, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

183378 Issued in NY

Legal business name

NORTH COAST INTERNAL MEDICINE, P.C.

Practice address

207 Glen Cove Ave
Sea Cliff, NY 11579-1437

Phone

(516) 676-1742

Fax

(516) 676-9662

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles A. Gambino, D.O.NPI 1740366434

Title

President

Phone

(516) 676-1742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Charles A Gambino, DO

  • Internal Medicine Physician
  • Sea Cliff, NY
  • NPI 1740366434
  Medicare reassignment Authorized official
• Samantha M Ferazzoli

  • Adult Health Nurse Practitioner
  • Sea Cliff, NY
  • NPI 1700408762
  Medicare reassignment NPD
• Abraham David Gadelov, PA-C

  • Physician Assistant
  • Mission Viejo, CA
  • NPI 1588203756

  NY

  Medicare reassignment

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1164600987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GLEN COVE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791437",
            "telephone_number": "516-676-1742",
            "fax_number": "516-676-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GLEN COVE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791437",
            "telephone_number": "516-676-1742",
            "fax_number": "516-676-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "GAMBINO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-676-1742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Sara Mindich, LAC.
• Roechelle Montenegro, NP
• Hope Nabavian, LMT
• Nassau Infectious Diseases PLLC
• Allison Andreno Norful, ANP-BC
• North Shore Central School District
• Marjorie Ruth O'Connor, L.AC.
• Karen B Pegno, LMSW
• Mark Pezner, PH.D.
• Muireann Phelan, LMSW

• Internal Medicine Physician in Sea Cliff, NY
• Providers in Sea Cliff, 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 Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.