Veterans Administration Hospital

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

245201 Issued in NY

Legal business name

VETERANS ADMINISTRATION HOSPITAL

Practice address

79 Middleville Rd
Northport, NY 11768-2200

Phone

(631) 261-4363

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Xiyun Shao, M.D.

Title

Attending Physician

Phone

(917) 940-8711

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1962697490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JEAN PL",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915914",
            "telephone_number": "516-558-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "XIYUN",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "917-940-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NY",
            "license": "245201",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "245201",
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NY",
            "license": "245201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixie Ailyn Vasquez
• Amy Lynn Vath, PA-C
• Arlene L Vazquez Young, O.D.
• Gabrielle Eva Velazquez
• Karen Ventricelli, RN
• Katherine Vicinanza
• Victoria Vovsha P.C.
• Village of Northport
• Village Physical Therapy, P.C.
• Village Speech and Language PLLC

• Ambulatory Family Planning Facility in Northport, NY
• Providers in Northport, NY by specialty
• Ambulatory Family Planning Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.