Organization Active NPI

North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
National Provider Identifier
1396794574
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Practice address
49 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone
(631) 751-3000
Fax
(631) 509-6559
NPI assigned
May 8, 2006
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Patricia Dandraia
Title
Credentialing Coordinator
Phone
(631) 751-3000

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

49 Nesconset Hwy
Port Jefferson Station, NY 11776

Mailing address

1 Research Rd
Ridge, NY 11961-2701
Phone (163) 175-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324001766 NY Part B Supplier - Clinic/Group Practice 1456243641 Receives reassigned benefits from 737 practitioners
O20100930045948 NY DME Supplier - Physician - Hematology/OncologyDME Supplier - Multi-Specialty - Physician 1456243641 Practice locations: Port Jefferson Station, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 95)

2322 30th Rd
Ste 1A
Astoria, NY 11102
Phone (667) 326-9198

375 E Main St
Ste 5
Bay Shore, NY 11706

69 W Main St
Ste 1
Bay Shore, NY 11706

72 E Main St
Bay Shore, NY 11706

581 Middle Rd
Bayport, NY 11705
Phone (631) 472-8100

4564 Francis Lewis Blvd
Ste 2
Bayside, NY 11361

4564 Francis Lewis Blvd
Ste 20
Bayside, NY 11361

4564 Francis Lewis Blvd
Ste 200
Bayside, NY 11361
Phone (516) 888-7614

1749 Grand Concourse
Ofc A
Bronx, NY 10453
Phone (718) 901-8173

1983 Dr Martin L King Jr Blvd
Bronx, NY 10453
Phone (718) 299-5446

2330 Eastchester Rd
#2
Bronx, NY 10469

175 Remsen Ave
Brooklyn, NY 11212

175 Remsen Ave
Ste 1225
Brooklyn, NY 11212

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

175 Remsen St
Fl 12
Brooklyn, NY 11201

699 Stanley Ave
Brooklyn, NY 11207
Phone (347) 689-8880

86 Saint Felix St
Fl 7
Brooklyn, NY 11217
Phone (212) 379-6414

2201 Route 112
Coram, NY 11727

32645 Main Rd
Ste 7
Cutchogue, NY 11935

285 Sills Rd
Bldg 15F
East Patchogue, NY 11772
Phone (631) 618-9030

285 Sills Rd
Bldg 16
East Patchogue, NY 11772
Phone (631) 758-7575

285 Sills Rd
Bldg A
East Patchogue, NY 11772

285 Sills Rd
Bldg F
East Patchogue, NY 11772

3400 Nesconset Hwy
Ste 106
East Setauket, NY 11733
Phone (631) 751-1666

7 S Jersey Ave
Ste 1S
East Setauket, NY 11733

Practitioners & affiliated clinicians

Practitioners 768

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 768

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1396794574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESEARCH RD",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612701",
            "telephone_number": "163-175-1300",
            "fax_number": "631-509-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-751-3000",
            "fax_number": "631-509-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "DANDRAIA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "631-751-3000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.