True North Medical of Manhasset, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

TRUE NORTH MEDICAL OF MANHASSET, PC

Practice address

1175 Montauk Hwy
West Islip, NY 11795-4939

Phone

(833) 666-6066

Fax

(631) 337-7698

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Mullins, MD

Title

Administrator

Phone

(833) 666-6066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Joshua Everette Ryan, MD

  • Neurological Surgery Physician
  • West Islip, NY
  • NPI 1750673208

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1184487001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "833-666-6066",
            "fax_number": "631-337-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "833-666-6066",
            "fax_number": "631-337-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH MEDICAL OF MANHASSET, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "833-666-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Trentino, PA
• Kayla Marie Tricarico, LAC.
• Anthony J Tristano Jr., RPH
• Saumil Hardev Trivedi, MD
• Jeri-Anne Trotta, LMHC
• True North Medical of South Nassau, PC
• True North Medical of Suffolk, PC
• Jason Tsai, M.D.
• Stephanie Kendall Tsang
• Maria Tumminello, RPH

• Neurological Surgery Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.