South Shore Pulmonary Medicine PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SOUTH SHORE PULMONARY MEDICINE PC

Practice address

360 Central Ave
Suite 113
Lawrence, NY 11559

Phone

(516) 569-6966

Fax

(516) 569-4026

NPI assigned

Nov 8, 2006

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Ira Rothman, MDNPI 1285616136

Title

Partner

Phone

(516) 569-6966

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

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.

• Nathan Ira Rothman, MD

  • Pulmonary Disease Physician
  • Lawrence, NY
  • NPI 1285616136
  Medicare reassignment Care Compare group NPD Authorized official
• Pavel Gozenput, M.D.

  • Infectious Disease Physician
  • Oceanside, NY
  • NPI 1558599381
  Medicare reassignment Care Compare group NPD
• Daniella Brody

  • Physician Assistant
  • Far Rockaway, NY
  • NPI 1285526319
  Medicare reassignment Care Compare group
• Joseph Donath, M.D.

  • Pulmonary Disease Physician
  • Lawrence, NY
  • NPI 1255425575
  Medicare reassignment Care Compare group
• Shimshon Wiesel, DO

  • Pulmonary Disease Physician
  • Lawrence, NY
  • NPI 1346629060
  Medicare reassignment Care Compare group
• Danil Mishiyev, DO

  • Pulmonary Disease Physician
  • Lawrence, NY
  • NPI 1578182416
  Care Compare group NPD (past)
• Jonathan Drew Altus, MD

  • Pulmonary Disease Physician
  • Baldwin Harbor, NY
  • NPI 1871575647
  NPD
• Harold M Alpert, MD

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1053316984
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1750451001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE",
            "address_2": "SUITE 113",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "11559",
            "telephone_number": "516-569-6966",
            "fax_number": "516-569-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE",
            "address_2": "SUITE 113",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "11559",
            "telephone_number": "516-569-6966",
            "fax_number": "516-569-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PULMONARY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-569-6966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00940721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari L Slepoy, PSY.D.
• Neil Smith, M.D.
• Khalil Solaimanzadeh, MD
• South Island Gastroenterology Associates PC
• South Shore Head & Neck Surgery MD., PC. (Moo Young Jun, MD)
• Eileen Ronnie Spector, M.S. SPECIAL EDUC
• Dominic Spera, M.D.
• Matteo Spera, M.D.
• Mark Sperber, M.D.
• Spine Care Medicine PC

• Pulmonary Disease Physician in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.