Organization Active NPI

North Shore Long Island Jewish Health Care Inc

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1912338385
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH SHORE LONG ISLAND JEWISH HEALTH CARE INC
Practice address
176 E 77TH St
New York, NY 10075-1908
Phone
(212) 744-1852
Fax
(212) 517-6432
NPI assigned
Dec 10, 2013
Last updated
Dec 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Mr. Robert S Shapiro
Title
Executive VP & Cfo
Phone
(516) 465-8162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU

Addresses

Primary practice location

176 E 77TH St
New York, NY 10075-1908

Mailing address

972 Brush Hollow Rd
Finance 5TH Floor
Westbury, NY 11590-1740

Other names 1

  • North Shore-LIJ Medical Group George Brief MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070215000718 NY Part B Supplier - Clinic/Group Practice 3971531039 Receives reassigned benefits from 219 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 28)

1301 57th St
Fl 1
Brooklyn, NY 11219
Phone (212) 427-3986

6080 Jericho Tpke
#318
Commack, NY 11725

13617 39th Ave
Ste Cfb
Flushing, NY 11354
Phone (718) 559-3600

6860 Austin St
Forest Hills, NY 11375
Phone (718) 575-9000

925 Hempstead Tpke
Ste 2
Franklin Square, NY 11010
Phone (516) 233-2882

301 E Shore Rd
#203
Great Neck, NY 11023
Phone (516) 482-8657

310 E Shore Rd
Ste 203
Great Neck, NY 11023
Phone (516) 482-8657

865 Northern Blvd
Ste 101
Great Neck, NY 11021
Phone (516) 622-5070

900 Northern Blvd
Great Neck, NY 11021
Phone (516) 482-4343

19 Bradhurst Ave
Ste 550S
Hawthorne, NY 10532
Phone (516) 280-3733

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

3001 Express Dr N
Ste 112
Islandia, NY 11749
Phone (631) 435-4322

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

532 Broadway
Massapequa, NY 11758
Phone (516) 798-2635

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

1000 10th Ave
#5G80
New York, NY 10019
Phone (212) 523-6720

110 E 59th St
New York, NY 10022
Phone (212) 583-2800

176 E 77th St
New York, NY 10075
Phone (212) 434-6400

245 E 54th St
New York, NY 10022
Phone (212) 752-6930

410 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 465-3270

14 Maple St
Ste 103
Prt Washingtn, NY 11050
Phone (516) 767-3161

9525 Queens Blvd
Rego Park, NY 11374
Phone (718) 286-1000

11412 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 318-6021

11506 Beach Channel Dr
Ste 2
Rockaway Park, NY 11694
Phone (718) 318-1029

140 Beach 113th St
Rockaway Park, NY 11694
Phone (516) 295-5280

Practitioners & affiliated clinicians

Practitioners 239

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.

View all 239

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1912338385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD",
            "address_2": "FINANCE 5TH FLOOR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751908",
            "telephone_number": "212-744-1852",
            "fax_number": "212-517-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE LONG ISLAND JEWISH HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE VP & CFO",
        "authorized_official_telephone_number": "516-465-8162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore-LIJ Medical Group George Brief MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.