Active NPI
Otolaryngology Associates of Long Island
- Specialist
- Port Jefferson, NY
National Provider Identifier
1710074935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 112673
- Legal business name
- OTOLARYNGOLOGY ASSOCIATES OF LONG ISLAND
- Practice address
- 251 E Oakland Ave
Port Jefferson, NY 11777-2602 - Phone
- (631) 928-0188
- Fax
- (631) 928-0185
- NPI assigned
- Oct 9, 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. Richard Steven Litman, M.D.
- Title
- President
- Phone
- (631) 928-0188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 112673 | NY | Primary |
Addresses
Primary practice location
251 E Oakland Ave
Port Jefferson, NY 11777-2602
Mailing address
251 E Oakland Ave
Port Jefferson, NY 11777-2602
Phone (631) 928-0188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01793902 | Medicaid | NY |
Other names 1
- Litman, sher, Shangold, M.D., P.C.
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.
-
- Sleep Medicine (Otolaryngology) Physician
- Port Jefferson Station, NY
- NPI 1902887730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1710074935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E OAKLAND AVE",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772602",
"telephone_number": "631-928-0188",
"fax_number": "631-928-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E OAKLAND AVE",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772602",
"telephone_number": "631-928-0188",
"fax_number": "631-928-0185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTOLARYNGOLOGY ASSOCIATES OF LONG ISLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "LITMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-928-0188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "112673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01793902",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Litman, sher, Shangold, M.D., P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.