Organization Active NPI

South Nassau Communities Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Oceanside, NY
National Provider Identifier
1194714337
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2950001H Issued in NY
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

Updated by the provider on Aug 9, 2007

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.