North Shore Retina Physician, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

226005 Issued in NY

Legal business name

NORTH SHORE RETINA PHYSICIAN, PLLC

Practice address

300 Old Country Rd
Suite GL 51
Mineola, NY 11501-4198

Phone

(516) 729-8515

Fax

(516) 277-1528

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Nazanin Barzideh, MD

Title

Physician

Phone

(516) 729-8515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1548566342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 FINCH DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762705",
            "telephone_number": "516-729-8515",
            "fax_number": "516-277-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD",
            "address_2": "SUITE GL 51",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014198",
            "telephone_number": "516-729-8515",
            "fax_number": "516-277-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE RETINA PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "BARZIDEH",
        "authorized_official_first_name": "NAZANIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-729-8515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "226005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce A Noonan, RN, FNP-C
• Asif Noor, M.D.
• MD Sibat Noor, MD
• Manuel Norona, RPH
• North Shore Psychiatric Associates of Long Island, P.C.
• Northland Hearing Centers, Inc.
• Northwell Health
• Melissa Ann Nortillo, PA
• Alessandra Noto
• Anthony Noto III

• Ophthalmology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.