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NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC NPI 1982262903


NPI Information

NPI: 1982262903
Provider Name: NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1500 ROUTE 112
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 828-5555
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NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC is an orthopaedic surgery in Port Jefferson Station, NY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC NPI is 1982262903. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 ROUTE 112
PORT JEFFERSON STATION, NY
ZIP 11776-054
Phone: (631) 828-5555
Fax: (631) 828-5544

The provider's authorized official is Michele L Cusack .
The authorized official title is Senior Vice President & Cfo and has the following contact phone number (516) 321-6058.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 6/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand SurgeryNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
4207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
5207XX0005XOrthopaedic SurgerySports MedicineNo
62081P2900XPhysical Medicine & RehabilitationPain MedicineNo
72084N0400XPsychiatry & NeurologyNeurologyNo
82085R0202XRadiologyDiagnostic RadiologyNo
9208VP0000XPain MedicinePain MedicineNo
10225100000XPhysical TherapistNo
11225X00000XOccupational TherapistNo
12363A00000XPhysician AssistantNo
13207X00000XOrthopaedic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.