South Nassau Internal Medicine Associates, LLP

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

112891 Issued in NY

Legal business name

SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP

Practice address

155 W Merrick Rd
Suite 101
Freeport, NY 11520-3743

Phone

(516) 379-3139

Fax

(516) 868-0683

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara M Martin

Title

Office Administrator

Phone

(516) 379-3139

Specialties & licenses 6

Addresses

Practitioners 3

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

• Gina S Caso, MD

  • Internal Medicine Physician
  • Freeport, NY
  • NPI 1720076060
  NPD
• John A Ostuni, MD

  • Internal Medicine Physician
  • Freeport, NY
  • NPI 1811985153
  NPD
• Michael Smar, MD

  • Internal Medicine Physician
  • Freeport, NY
  • NPI 1457349706
  NPD

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1508045279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W MERRICK RD",
            "address_2": "SUITE 101",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203743",
            "telephone_number": "516-379-3139",
            "fax_number": "516-868-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W MERRICK RD",
            "address_2": "SUITE 101",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203743",
            "telephone_number": "516-379-3139",
            "fax_number": "516-868-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "516-379-3139",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164466",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "F46077",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "149408",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "112891",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0107171",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3019041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Josephine Smith, LMT
• Shayiah P Smith
• Shurland E Smith
• Vanessa Sobers
• Jennifer Sommermann, LCMT
• South Nassau Pediatrics,LLP
• South Nassau Urology, PC
• South Ocean Care LLC
• South Shore Child Association Incorporated
• South Shore Child Association Incorporated

• Endocrinology, Diabetes & Metabolism Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.