Organization Active NPI

North Nassau Urological Associates

  • Specialist
  • Glen Cove, NY
National Provider Identifier
1245420157
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH NASSAU UROLOGICAL ASSOCIATES
Practice address
10 Medical PLZ
Suite 206
Glen Cove, NY 11542-2193
Phone
(516) 676-2270
Fax
(516) 676-5498
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Eric M Hochberg, M.D.NPI 1801828199
Title
President
Phone
(516) 676-2270

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 NY Primary

Addresses

Primary practice location

10 Medical PLZ
Suite 206
Glen Cove, NY 11542-2193

Mailing address

10 Medical PLZ
Suite 206
Glen Cove, NY 11542-2193
Phone (516) 676-2270

Other identifiers 1

IdentifierTypeStateIssuer
02061618MedicaidNY

National Provider Directory

National Provider Directory

Locations

10 Medical Plz
Ste 206
Glen Cove, NY 11542
Phone (516) 676-2270

Practitioners & affiliated clinicians

Practitioners 1

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": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245420157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 206",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422193",
            "telephone_number": "516-676-2270",
            "fax_number": "516-676-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 206",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422193",
            "telephone_number": "516-676-2270",
            "fax_number": "516-676-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH NASSAU UROLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOCHBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-676-2270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02061618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.