| South Nassau Family Medicine Pc | |
|
196 Merrick Rd Oceanside NY 11572-1420 | |
| (516) 255-8400 | |
| (516) 255-8453 |
| Full Name | South Nassau Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 196 Merrick Rd, Oceanside, New York |
| Authorized Official Name and Position | Scott Ippolito (CHAIRMAN) |
| Authorized Official Contact | 5162558400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Nassau Family Medicine Pc 1 Healthy Way Attn: Physician Billing Dept Oceanside NY 11572-1551 Ph: (516) 255-1600 | South Nassau Family Medicine Pc 196 Merrick Rd Oceanside NY 11572-1420 Ph: (516) 255-8400 |
| NPI Number | 1902891781 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4688563463 |
|---|---|
| Medicare Enrollment ID | O20040311000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902891781 | NPI | - | NPPES |
| 02156889 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Iheanyichukwu Aja-onu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720077944 PECOS PAC ID: 5496721870 Enrollment ID: I20040907001363 |
| Provider Name | Lincoln J Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356423222 PECOS PAC ID: 4688633217 Enrollment ID: I20041007000744 |
| Provider Name | Scott F Ippolito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619962586 PECOS PAC ID: 6901857267 Enrollment ID: I20050203000391 |
| Provider Name | Craig M Linder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215022058 PECOS PAC ID: 2769433572 Enrollment ID: I20050209000092 |
| Provider Name | Alex G Hirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902895121 PECOS PAC ID: 7618921313 Enrollment ID: I20050305000020 |
| Provider Name | Russell W Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275511560 PECOS PAC ID: 8527012608 Enrollment ID: I20050311000027 |
| Provider Name | Stanley Ring |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205879335 PECOS PAC ID: 0941228860 Enrollment ID: I20051109000064 |
| Provider Name | Juan C Goez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770515488 PECOS PAC ID: 8022030097 Enrollment ID: I20051220000081 |
| Provider Name | Lewis Rosenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386720910 PECOS PAC ID: 4284656109 Enrollment ID: I20051228000631 |
| Provider Name | Andrea Sciberras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477645661 PECOS PAC ID: 0446269450 Enrollment ID: I20060419000027 |
| Provider Name | Robert M Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679561518 PECOS PAC ID: 6204839061 Enrollment ID: I20060816000372 |
| Provider Name | Karen Ann Isaacs-charles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750391629 PECOS PAC ID: 7911087838 Enrollment ID: I20080104000431 |
| Provider Name | Francine A Guzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164448007 PECOS PAC ID: 9234202847 Enrollment ID: I20080715000665 |
| Provider Name | Daniel S Mccally |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710920830 PECOS PAC ID: 8820141419 Enrollment ID: I20090729000578 |
| Provider Name | Precillia Fairman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154651941 PECOS PAC ID: 4183766694 Enrollment ID: I20100121000702 |
| Provider Name | Emad Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912992785 PECOS PAC ID: 4183768443 Enrollment ID: I20100224000604 |
| Provider Name | Steven M Weiss |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114912144 PECOS PAC ID: 5991831299 Enrollment ID: I20100325000679 |
| Provider Name | Jonathan D Altus |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871575647 PECOS PAC ID: 7214038827 Enrollment ID: I20100514000559 |
| Provider Name | Linda M Roethel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801881677 PECOS PAC ID: 6507998531 Enrollment ID: I20100709000553 |
| Provider Name | Bernadette A Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285870634 PECOS PAC ID: 8123150018 Enrollment ID: I20100712000528 |
| Provider Name | Genevieve B Sicuranza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174516215 PECOS PAC ID: 4587730718 Enrollment ID: I20100727000848 |
| Provider Name | Samuel Sandowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952396723 PECOS PAC ID: 9931223526 Enrollment ID: I20100903000184 |
| Provider Name | Nelson R Giraldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902996093 PECOS PAC ID: 1254511660 Enrollment ID: I20110202000062 |
| Provider Name | Warren N Rosenfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619991833 PECOS PAC ID: 5799861381 Enrollment ID: I20110215000503 |
| Provider Name | Christina A Ramirez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346493566 PECOS PAC ID: 0749464410 Enrollment ID: I20110405000872 |
| Provider Name | Michael P Herman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144487943 PECOS PAC ID: 4981882008 Enrollment ID: I20110620000601 |
| Provider Name | Joyce Robert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104088350 PECOS PAC ID: 7315112851 Enrollment ID: I20111212000117 |
| Provider Name | Irwin Goldstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366528127 PECOS PAC ID: 0042457517 Enrollment ID: I20130501000272 |
| Provider Name | Irada Shapiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063504728 PECOS PAC ID: 1153514393 Enrollment ID: I20130606000589 |
| Provider Name | Varvara Alexiadis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033462684 PECOS PAC ID: 5294973988 Enrollment ID: I20130610000046 |
| Provider Name | Michelle H Goodger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093977993 PECOS PAC ID: 0446562235 Enrollment ID: I20150708000967 |
| Provider Name | Rossy E Duarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689013328 PECOS PAC ID: 7214224831 Enrollment ID: I20160926002137 |
| Provider Name | Anubhav Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568709244 PECOS PAC ID: 0042506735 Enrollment ID: I20170919000315 |
| Provider Name | Amber Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083149785 PECOS PAC ID: 1153697628 Enrollment ID: I20171027002103 |
| Provider Name | Mark Joel Neuman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386985943 PECOS PAC ID: 4880944651 Enrollment ID: I20180829002438 |
| Provider Name | Roselia Guillen-santana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235140922 PECOS PAC ID: 9537385372 Enrollment ID: I20180920002101 |
Harmony Health Care Long Island Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3227 Long Beach Rd Ste 2, Oceanside, NY 11572 Phone: 516-678-0900 Fax: 516-431-1600 | |
Mes Medical Consultingpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Elaine Dr, Oceanside, NY 11572 Phone: 516-286-0094 | |
William H. Simon, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Lincoln Ave, Suite201, Oceanside, NY 11572 Phone: 516-766-6808 Fax: 516-766-5218 | |
Mount Sinai Doctors South Nassau - Ob/gyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Merrick Rd, Oceanside, NY 11572 Phone: 516-255-8400 | |
Mount Sinai Doctors South Nassau - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Long Beach Rd, Oceanside, NY 11572 Phone: 516-593-8953 | |
Mount Sinai Marathon Medical - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Long Beach Rd, Oceanside, NY 11572 Phone: 516-992-5626 | |
Dwell Family Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 Long Beach Rd, 2nd Floor, Oceanside, NY 11572 Phone: 516-558-7858 Fax: 516-812-3975 |