North Shore Anesthesia Group

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

NORTH SHORE ANESTHESIA GROUP

Doing business as

Cih
Cih Ccah
Central Island Hosp.1 more in Other names

Practice address

11-52 Engineers St
Haupphauge, NY 11788

Phone

(631) 987-9643

NPI assigned

Aug 24, 2018

Last updated

Oct 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Barkey, RDA-A, FASMLAPNPI 1851713382

Title

Assistant Director

Phone

(631) 987-9643

Specialties & licenses 14

Addresses

Other identifiers 1

Other names 5

• CIH Doing business as
• CIH CCAH Doing business as
• Central Island Hosp. Doing business as
• Central Island Hospital Doing business as
• Central Island Hosp. Provider Group Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Barkey, RDA-A, FASMLAP

  • Speech/Language/Hearing Specialist/Technologist
  • Kings Park, NY
  • NPI 1851713382
  NPD Authorized official
• Samara Bianca Spinella

  • Student in an Organized Health Care Education/Training Program
  • Kings Park, NY
  • NPI 1457899254
  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1174004477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLUMBUS AVE",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544902",
            "telephone_number": "631-987-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-52 ENGINEERS ST",
            "city": "HAUPPHAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-987-9643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Kings Park",
            "state": "NY",
            "postal_code": "117544902",
            "country_code": "US",
            "telephone_number": "631-987-9643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH SHORE ANESTHESIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "BARKEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "631-987-9643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDA-A, FASMLAP"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH DISPOSITION CODE",
            "identifier": "533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CIH CCAH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Island Hosp.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Island Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Island Hosp. Provider Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.