Nassau County SH Medical PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

NASSAU COUNTY SH MEDICAL PC

Practice address

1396 Myrtle Ave
Brooklyn, NY 11237-4513

Phone

(718) 878-4314

Fax

(866) 611-7203

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Simcha Herrmann, MD

Title

Owner

Phone

(718) 878-4314

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Alexandra Mirzayeva, RPA-C

  • Medical Physician Assistant
  • Elmhurst, NY
  • NPI 1871747451
  NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1457910374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374513",
            "telephone_number": "718-878-4314",
            "fax_number": "866-611-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374513",
            "telephone_number": "718-878-4314",
            "fax_number": "866-611-7203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 163rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100325632",
            "country_code": "US",
            "telephone_number": "718-878-4314",
            "fax_number": "866-611-7203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NASSAU COUNTY SH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-878-4314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Habib Nasrullah, MD
• Bina Nass
• Daniel Simon Nass, OTR
• Leah Pnina Nass
• Narimen Nassar, MS
• Nassau Dental Park
• Nassau Medical Services P.C. (Quality Sleep Diagnostics)
• Nassau University Medical Center
• Jessica Nassau
• Nassef. F. Hassan, Physician, PC

• Pain Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.