The Medical Station of North Shore PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

243930 Issued in NY

Legal business name

THE MEDICAL STATION OF NORTH SHORE PC

Practice address

480 Forest Ave
Locust Valley, NY 11560

Phone

(516) 759-5406

Fax

(516) 759-5537

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Debbie Feliciano, MDNPI 1710064761

Title

Owner

Phone

(516) 759-5406

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Debbie Feliciano, MD

  • Family Medicine Physician
  • Glen Cove, NY
  • NPI 1710064761
  Medicare reassignment NPD Authorized official
• Whitney Marion McCarthy, NP

  • Adult Health Nurse Practitioner
  • Locust Valley, NY
  • NPI 1982372041
  NPD
• Shyamkumar Patel, PA

  • Physician Assistant
  • New York, NY
  • NPI 1770051815
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255840807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FOREST AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602151",
            "telephone_number": "516-759-5406",
            "fax_number": "516-759-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 FOREST AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "11560",
            "telephone_number": "516-759-5406",
            "fax_number": "516-759-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL STATION OF NORTH SHORE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-759-5406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "243930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "5395P1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Streiber, DPT
• Gregg Matthew Szerlip, D.O.
• Cris Dio Lavarez Talagsa
• Tracey Taylor, RN
• The Medical Station of Long Island PC
• Laura Grace Torff
• Elzbieta Tworzydlo, MD
• Erin Tyler, DPT
• Celia M Varga, PT
• Charles Michael Ventresca, D.C., L.AC.

• Family Medicine Physician in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Family Medicine Physician in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.