North Shore Diagnostic Medical Testing PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTH SHORE DIAGNOSTIC MEDICAL TESTING PC

Practice address

2435 Victory Blvd
Staten Island, NY 10314

Phone

(718) 370-3730

Fax

(718) 370-9783

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Frank S Scaburi III, DO

Title

Physician President

Phone

(718) 370-3730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1245423508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-370-3730",
            "fax_number": "718-370-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-370-3730",
            "fax_number": "718-370-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE DIAGNOSTIC MEDICAL TESTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "SCABURI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "718-370-3730",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahla Noreen, MD
• Leticia Norem, LPN
• Theresa Ann Norris, MSSW, LCSW-R
• Ziesha Norris
• North Health Pharmacy Inc.
• North Shore Hematology Oncology Associates PC
• North Shore Hematology Oncology Associates PC
• North Shore Hematology/Oncology Associates PC
• North Shore Long Island Jewish Healthcare Inc.
• North Shore Physical Therapy of Si, PC

• Clinical Medical Laboratory in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Medical Laboratory in New York

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