Northvale Medical LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NORTHVALE MEDICAL LLC

Practice address

47 Lexington Ave
Bethpage, NY 11714-3107

Phone

(307) 316-1096

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shahnila Rasul

Title

Authorized Official

Phone

(307) 316-1096

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1427952167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 LEXINGTON AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143107",
            "telephone_number": "307-316-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVALE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "RASUL",
        "authorized_official_first_name": "SHAHNILA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "307-316-1096"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Nimmo
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• North Shore Surgical PC
• Christine Leanne Novelli, R.N.
• Ny Surgical Services PLLC
• NYU Langone Hospitals (NYU Langone Hospital Long Island)
• Kathleen D. O'Connor, MD
• Marissa O'Connor, LMSW

• Urgent Care Clinic/Center in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.