North Shore Sleep Medicine

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

15517801 Issued in NY

Legal business name

NORTH SHORE SLEEP MEDICINE

Practice address

1000 Northern Blvd
Suite 230
Great Neck, NY 11021-5312

Phone

(516) 627-7407

Fax

(516) 627-0552

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David G Edelson, M.D.

Title

President

Phone

(516) 627-7407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1801962006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "SUITE 230",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-627-7407",
            "fax_number": "516-627-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "SUITE 230",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-627-7407",
            "fax_number": "516-627-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE SLEEP MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "EDELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-627-7407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "15517801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Long Island Jewish Health Care Inc
• North Shore Medical Arts, LLP
• North Shore Medical Asscoaites,PC
• North Shore Physical Therapy and Occupational Therapy, PLLC
• North Shore Podiatry, PC
• North Shore Surgical Oncology Associates, PC
• North Shore Surgical Specialists, M.D. P.C.
• North Shore Vascular Associates, P.C.
• North Shore-Lij Health Plan
• North Shore-Lij Health System

• Sleep Medicine (Internal Medicine) Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Sleep Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.