South Nassau Medical Group, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH NASSAU MEDICAL GROUP, PC

Practice address

185 Merrick Rd
Lynbrook, NY 11563-2700

Phone

(516) 887-0077

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By 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

Dr. Linda Efferen, MDNPI 1558431908

Title

President

Phone

(516) 632-3965

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Linda S Efferen, MD

  • Pulmonary Disease Physician
  • Hauppauge, NY
  • NPI 1558431908
  NPD (past) Authorized official
• Jennifer Rogers, FNP

  • Family Nurse Practitioner
  • Waterville, NY
  • NPI 1770924391
  NPD (past)

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1801153051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632700",
            "telephone_number": "516-887-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASSAU MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "EFFEREN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-632-3965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Sonkin, FNP
• Nicole Sorrentino
• Neil B Soskel, D.O.
• Sound Audiology LLC
• South Nassau Cardiology Services, PC
• South Shore Endodontics PC
• South Shore Internal Medicine Associates, P.C.
• South Shore Nuclear Diagnostics, PC
• South Shore Rockaways Ipa
• Southern Nassau Physical Therapy P C (Peak Performance Physical Therapy)

• Family Medicine Physician in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.