Active NPI
South Nassau Communities Hospital
- Anatomic Pathology & Clinical Pathology Physician
- Oceanside, NY
National Provider Identifier
1194714337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2950001H
- Legal business name
- SOUTH NASSAU COMMUNITIES HOSPITAL
- Practice address
- 1 Healthy Way
Attn: Physician Billing
Oceanside, NY 11572-1551 - Phone
- (516) 255-1616
- NPI assigned
- Oct 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Balko
- Title
- Director 0F Finance
- Phone
- (516) 255-1653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2950001H | NY | Primary |
Addresses
Primary practice location
1 Healthy Way
Attn: Physician Billing
Oceanside, NY 11572-1551
Mailing address
1 Healthy Way
Attn: Physician Billing
Oceanside, NY 11572-1551
Phone (516) 255-1616
National Provider Directory
National Provider DirectoryLocations
1078 Oaks Dr
Fl 1
Franklin Square, NY 11010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1194714337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"address_2": "ATTN: PHYSICIAN BILLING",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721551",
"telephone_number": "516-255-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"address_2": "ATTN: PHYSICIAN BILLING",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721551",
"telephone_number": "516-255-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-20",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "BALKO",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "DIRECTOR 0F FINANCE",
"authorized_official_telephone_number": "516-255-1653"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "2950001H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.