Hillside TMS Medical PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HILLSIDE TMS MEDICAL PLLC

Practice address

1575 Hillside Ave Ste 208
New Hyde Park, NY 11040-2501

Phone

(516) 974-6072

Fax

(516) 998-4133

NPI assigned

Sep 1, 2020

Organization subpart

Yes

Parent organization

NORTHWELL HEALTHAs reported in NPPES

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

Authorized official

Name

Annupriya ItteeraNPI 1518922939

Title

Owner

Phone

(516) 859-5758

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://call.api.northwell.io/epic-proxy/api/fhir/R4/

Practitioners 2

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

• Annupriya Itteera, MD

  • Psychiatry Physician
  • New Hyde Park, NY
  • NPI 1518922939
  Medicare reassignment Authorized official
• George Pahalan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Hyde Park, NY
  • NPI 1295185569
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1356955934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE STE 208",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402501",
            "telephone_number": "516-974-6072",
            "fax_number": "516-998-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE STE 208",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402501",
            "telephone_number": "516-974-6072",
            "fax_number": "516-998-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE TMS MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWELL HEALTH",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "ITTEERA",
        "authorized_official_first_name": "ANNUPRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-859-5758"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.NorthwellHealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1575 Hillside Ave Ste 208",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110402501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hillside Heart LLC
• Hillside Infectious Disease Consulting PLLC
• Hillside Medical Assoc., P.C.
• Hillside Ophthalmology PLLC
• Hillside Senior Center LLC
• Adam Hines, M.D.
• John Hines, MD
• Grace Betty Hintz
• Francis Panlaqui Hipolito
• Francine I. Hippolyte, M.D.

• Psychiatry Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.