| South Nassau Medical Group, Pc | |
|
185 Merrick Rd Lynbrook NY 11563-2700 | |
| (516) 887-0077 | |
| Not Available |
| Full Name | South Nassau Medical Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 185 Merrick Rd, Lynbrook, New York |
| Authorized Official Name and Position | Linda Efferen (PRESIDENT) |
| Authorized Official Contact | 5166323965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Nassau Medical Group, Pc 1 Healthy Way Oceanside NY 11572-1551 Ph: () - | South Nassau Medical Group, Pc 185 Merrick Rd Lynbrook NY 11563-2700 Ph: (516) 887-0077 |
| NPI Number | 1801153051 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Medicare PECOS PAC ID | 9739335571 |
|---|---|
| Medicare Enrollment ID | O20120809000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801153051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lee B Weitzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821058124 PECOS PAC ID: 9032104799 Enrollment ID: I20040420000968 |
| Provider Name | Susan I Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225204324 PECOS PAC ID: 4688660335 Enrollment ID: I20040420001669 |
| Provider Name | Michael D Smar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457349706 PECOS PAC ID: 1153306469 Enrollment ID: I20040621001945 |
| Provider Name | David Weinstock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003806290 PECOS PAC ID: 8123004884 Enrollment ID: I20040624001717 |
| Provider Name | Brenda L Janotha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770666117 PECOS PAC ID: 3870570195 Enrollment ID: I20040706000419 |
| Provider Name | Eric H Steinberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477621076 PECOS PAC ID: 2365421823 Enrollment ID: I20040717000247 |
| Provider Name | Joseph Eichenbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053301267 PECOS PAC ID: 6901862564 Enrollment ID: I20041206000284 |
| Provider Name | Richard L Addes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861569964 PECOS PAC ID: 8022067149 Enrollment ID: I20050115000047 |
| Provider Name | John Tomasula |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891701975 PECOS PAC ID: 3678505724 Enrollment ID: I20050909000128 |
| Provider Name | Neil Soskel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417942210 PECOS PAC ID: 5496778631 Enrollment ID: I20060113000239 |
| 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 | David I Tarkoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982611109 PECOS PAC ID: 5890882328 Enrollment ID: I20071126000107 |
| Provider Name | Lygia Dsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235201518 PECOS PAC ID: 8527123801 Enrollment ID: I20090220000200 |
| Provider Name | Margarita Mercado Medina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790929172 PECOS PAC ID: 7012053754 Enrollment ID: I20091009000175 |
| Provider Name | Steven M Weiss |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114912144 PECOS PAC ID: 5991831299 Enrollment ID: I20100325000679 |
| Provider Name | Jason L Esses |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326200916 PECOS PAC ID: 8022200047 Enrollment ID: I20101008001001 |
| Provider Name | Christina A Ramirez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346493566 PECOS PAC ID: 0749464410 Enrollment ID: I20110405000872 |
| Provider Name | Alice L Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528056652 PECOS PAC ID: 1153509047 Enrollment ID: I20110623000513 |
| Provider Name | Gina S Caso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720076060 PECOS PAC ID: 4082660246 Enrollment ID: I20110627000102 |
| Provider Name | Alan Mark Brickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104917343 PECOS PAC ID: 8527238294 Enrollment ID: I20110907001346 |
| Provider Name | Charles C Sticco |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255643276 PECOS PAC ID: 8224284914 Enrollment ID: I20120813000337 |
| Provider Name | Jillian Sonkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639473267 PECOS PAC ID: 2062669922 Enrollment ID: I20120828000496 |
| Provider Name | Harmandeep Singh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619110525 PECOS PAC ID: 6507037348 Enrollment ID: I20130301000331 |
| Provider Name | Harkirat Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124273388 PECOS PAC ID: 9032384078 Enrollment ID: I20140217000896 |
| Provider Name | Marlena Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437556206 PECOS PAC ID: 0143545061 Enrollment ID: I20150217000023 |
| Provider Name | Michael R Sood |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861798217 PECOS PAC ID: 1355655150 Enrollment ID: I20150807013883 |
| Provider Name | Luzanna K Plancarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760820344 PECOS PAC ID: 6406157718 Enrollment ID: I20151210001176 |
| Provider Name | Aaron Eli Glatt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104837525 PECOS PAC ID: 4587798327 Enrollment ID: I20160114000072 |
| Provider Name | Rossy E Duarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689013328 PECOS PAC ID: 7214224831 Enrollment ID: I20160926002137 |
| Provider Name | Judith Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437693116 PECOS PAC ID: 5698058295 Enrollment ID: I20170206000982 |
| Provider Name | Jennifer L Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336652726 PECOS PAC ID: 0446511604 Enrollment ID: I20180302001929 |
| Provider Name | Clifford F Feiner |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851470363 PECOS PAC ID: 8921278920 Enrollment ID: I20181019000865 |
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