NPIMap

Organization Active NPI

North Shore Hematology/Oncology Associates PC

  • Multi-Specialty Clinic/Center
  • Port Jefferson Station, NY
National Provider Identifier
1164899605
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC
Practice address
1500 Route 112 BLDG 4
Port Jefferson Station, NY 11776-8055
Phone
(631) 751-3000
Fax
(631) 751-0506
NPI assigned
Sep 1, 2015
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Patricia Dandraia, NP
Title
NP
Phone
(631) 751-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

1500 Route 112 BLDG 4
Port Jefferson Station, NY 11776-8055

Mailing address

1 Research Rd
Ridge, NY 11961-2701
Phone (631) 751-3000

National Provider Directory

National Provider Directory
Tax ID family
North Shore Hema Onco Ass70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

49 Route 347
Port Jefferson Station, NY 11776
Phone (631) 751-0000

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1164899605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESEARCH RD",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612701",
            "telephone_number": "631-751-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 BLDG 4",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768055",
            "telephone_number": "631-751-3000",
            "fax_number": "631-751-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "DANDRAIA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "631-751-3000",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.