North Shore Nephrology, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NORTH SHORE NEPHROLOGY, PC

Practice address

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3045

Phone

(516) 365-5570

Fax

(516) 365-5532

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Simon Prince

Title

Owner

Phone

(516) 365-5570

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paige Frascella

  • Acute Care Nurse Practitioner
  • North Massapequa, NY
  • NPI 1992549364
  NPD (past)
• Robert J Landy, D.P.M.

  • Foot Surgery Podiatrist
  • West Islip, NY
  • NPI 1093715633
  NPD (past)
• Isaac Sachmechi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New Hyde Park, NY
  • NPI 1750340121
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1861413718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD",
            "address_2": "SUITE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303045",
            "telephone_number": "516-365-5570",
            "fax_number": "516-365-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD",
            "address_2": "SUITE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303045",
            "telephone_number": "516-365-5570",
            "fax_number": "516-365-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-365-5570"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Hematology Oncology,PLLC
• North Shore Kids Talk
• North Shore Lij
• North Shore Long Island Jewish University Hospital
• North Shore Medical Group of the Mount Sinai School of Medicine
• North Shore Optometric Group, PC
• North Shore Otolaryngology Assoc, P.C.
• North Shore Podiatry, PC
• North Shore Psychiatric NP
• North Shore Univ Hosp Phcy

• Nephrology Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.