North Shore-Lij Occupational Medicine

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NORTH SHORE-LIJ OCCUPATIONAL MEDICINE

Practice address

225 Community Dr Ste 150
Great Neck, NY 11021-5500

Phone

(516) 492-3297

NPI assigned

Dec 1, 2023

Last updated

Dec 1, 2023By 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. Jacqueline Moline, MD

Title

Vice President

Phone

(516) 492-3297

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1881460681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DR STE 150",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215500",
            "telephone_number": "516-492-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DR STE 150",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215500",
            "telephone_number": "516-492-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Expressway Dr S Ste 108",
            "address_purpose": "LOCATION",
            "city": "Islandia",
            "state": "NY",
            "postal_code": "117491412",
            "country_code": "US",
            "telephone_number": "631-439-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH SHORE-LIJ OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "MOLINE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-492-3297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Vascular Associates, P.C.
• North Shore-Lij Health Plan
• North Shore-Lij Health System
• North Shore-Lij Medical PC (NHPP Cardiology at Great Neck)
• North Shore-Lij Medical,PC
• Northeast Medical Practice, PC
• Northland Hearing Center, Inc. (GB Audiology)
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Northshore-Long Island Jewish Health System
• Northwell Health Sleep Lab LLC

• General Practice Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.