Active NPI
North Shore Hematology Oncology Associates PC
- Specialist
- Port Jefferson Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00679947 | Medicaid | NY | |
| CC5178 | Other | NY | RR MEDICARE |
Practitioners 767
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1477049450
Multi-Specialty, NY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324001766 | NY | Part B Supplier - Clinic/Group Practice | 1456243641 | Receives reassigned benefits from 737 practitioners |
| O20100930045948 | NY | DME Supplier - Physician - Hematology/Oncology | 1456243641 | Practice locations: Port Jefferson Station, NY |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations (25 of 92)
2747 Crescent St
Ste 107A
Astoria, NY 11102
2322 30th Rd
Ste 1A
Astoria, NY 11102
Phone (667) 326-9198
2360 Grand Ave
Baldwin, NY 11510
Phone (516) 459-6570
72 E Main St
Bay Shore, NY 11706
375 E Main St
Ste 5
Bay Shore, NY 11706
69 W Main St
Ste 1
Bay Shore, NY 11706
4564 Francis Lewis Blvd
Ste 20
Bayside, NY 11361
2330 Eastchester Rd
#2
Bronx, NY 10469
1749 Grand Concourse
Ofc A
Bronx, NY 10453
Phone (718) 975-3342
1983 Dr Martin L King Jr Blvd
Bronx, NY 10453
Phone (718) 299-5446
2035 Ralph Ave
Ste C
Brooklyn, NY 11234
Phone (718) 968-2059
175 Remsen Ave
Brooklyn, NY 11212
175 Remsen St
Ste 1225
Brooklyn, NY 11201
Phone (718) 222-2600
175 Remsen Ave
Ste 1225
Brooklyn, NY 11212
175 Remsen St
Fl 12
Brooklyn, NY 11201
172 Myrtle Ave
Brooklyn, NY 11201
2201 Route 112
Coram, NY 11727
32645 Main Rd
Ste 78
Cutchogue, NY 11935
32645 Main Rd
Ste 7
Cutchogue, NY 11935
41 Bay Ave
East Moriches, NY 11940
Phone (631) 727-4171
285 Sills Rd
Bldg F
East Patchogue, NY 11772
285 Sills Rd
Bldg 1
East Patchogue, NY 11772
Phone (631) 654-8200
226 N Belle Mead Rd
East Setauket, NY 11733
Phone (631) 675-0568
7 S Jersey Ave
Ste 1S
East Setauket, NY 11733
9009 Queens Blvd
Elmhurst, NY 11373
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": "1678924800000",
"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": "2023-03-16",
"certification_date": "2023-03-16",
"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
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00679947",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC5178",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
- Joyce Louise Noonan, PT
- Shaista Noor, PT
- North Ocean Family Medicine
- North Shore Chiropractic P.C.
- North Shore Hematology Oncology Associates PC
- North Shore Hematology/Oncology Associates PC
- North Shore Hematology/Oncology Associates PC
- North Shore Hematology/Oncology Associates PC
- North Shore Immediate Medical Care P.C.
- North Shore Internal Medicine, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.