Active NPI
North Shore Medical Specialties Group PC
- Cardiovascular Disease Physician
- Lake Success, NY
National Provider Identifier
1528028917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- NORTH SHORE MEDICAL SPECIALTIES GROUP PC
- Practice address
- One Hollow Lane
Suite 312 North Shore Medical Specialties Group PC
Lake Success, NY 11042 - Phone
- (516) 487-1414
- Fax
- (516) 487-0576
- NPI assigned
- Mar 28, 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
- Dr. Barton E Cohen, MD
- Title
- Physician President
- Phone
- (516) 487-1414
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
One Hollow Lane
Suite 312 North Shore Medical Specialties Group PC
Lake Success, NY 11042
Mailing address
One Hollow Lane
Suite 312 North Shore Medical Specialties Group PC
Lake Success, NY 11042
Phone (516) 487-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA9724 | Other | NY | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- New Hyde Park, NY
- NPI 1366591430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356566400000",
"number": "1528028917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE HOLLOW LANE",
"address_2": "SUITE 312 NORTH SHORE MEDICAL SPECIALTIES GROUP PC",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-487-1414",
"fax_number": "516-487-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HOLLOW LANE",
"address_2": "SUITE 312 NORTH SHORE MEDICAL SPECIALTIES GROUP PC",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-487-1414",
"fax_number": "516-487-0576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE MEDICAL SPECIALTIES GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2012-12-27",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "BARTON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
"authorized_official_telephone_number": "516-487-1414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CA9724",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.