Organization Active NPI

North Shore Vascular Associates, P.C.

  • Specialist
  • Great Neck, NY
National Provider Identifier
1184897183
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
81767 Issued in NY
Legal business name
NORTH SHORE VASCULAR ASSOCIATES, P.C.
Practice address
212 Middle Neck Rd
Suite 6
Great Neck, NY 11021-1126
Phone
(516) 482-4477
Fax
(516) 482-7437
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Martin L Schulman, M.D.NPI 1164461851
Title
Vice President
Phone
(516) 482-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 81767 NY Primary

Addresses

Primary practice location

212 Middle Neck Rd
Suite 6
Great Neck, NY 11021-1126

Mailing address

212 Middle Neck Rd
Suite 6
Great Neck, NY 11021-1126
Phone (516) 482-4477

Other identifiers 2

IdentifierTypeStateIssuer
1164461851OtherNYNPI
1861431090OtherNYNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000506 NY Part B Supplier - Clinic/Group Practice 3072665207 Receives reassigned benefits from 2 practitioners
Practice locations: Commack, NY; New York, NY; Manhasset, NY

National Provider Directory

National Provider Directory

Locations

353 Veterans Memorial Hwy
Ste 206
Commack, NY 11725
Phone (631) 543-4599

212 Middle Neck Rd
Ste 6
Great Neck, NY 11021
Phone (516) 482-4477

800 Community Dr
Ste 211
Manhasset, NY 11030
Phone (516) 482-4477

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1184897183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MIDDLE NECK RD",
            "address_2": "SUITE 6",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211126",
            "telephone_number": "516-482-4477",
            "fax_number": "516-482-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MIDDLE NECK RD",
            "address_2": "SUITE 6",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211126",
            "telephone_number": "516-482-4477",
            "fax_number": "516-482-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE VASCULAR ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-482-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "81767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164461851",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861431090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.