NORTH SHORE MEDICAL GROUP
NPI 1003121013
Internal Medicine in Lake Ronkonkoma, NY

Active since August 13, 2010
201 PORTION RD, SUITE C, LAKE RONKONKOMA, NY 11779(631) 585-5959 Get Directions Write a Review

NPPES record last updated: August 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Shore Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE MEDICAL GROUP (NPI 1003121013) is a healthcare organization registered as an internal medicine in Lake Ronkonkoma, New York and active in the NPI registry since August 2010. The organization lists Janet Street, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003121013
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH SHORE MEDICAL GROUP OF MT SINAI SCHOOL OF MEDICINE
Location Address201 PORTION RD, SUITE CLake Ronkonkoma, NY 11779-4172
Mailing Address201 Portion Rd, Suite CLake Ronkonkoma, NY 11779-4172 · (631) 585-5959
Organization SubpartNo
Authorized OfficialJanet StreetAdministrator · (631) 351-3703
Enumeration DateAugust 13, 2010
NPI 1003121013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 PORTION RD, Lake Ronkonkoma, NY 11779

Other Names 1

Doing Business AsNorth Shore Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
201 PORTION RD, SUITE B
RONKONKOMA, NY 11779
Specialist
201 PORTION RD, SUITE B
RONKONKOMA, NY 11779
Radiology (Diagnostic Radiology)
201 PORTION RD, SUITE B
RONKONKOMA, NY 11779
Psychiatry & Neurology (Neurology)
201 PORTION RD, SUITE B
RONKONKOMA, NY 11779
Radiology (Diagnostic Radiology)
201 PORTION RD, SUITE B
RONKONKOMA, NY 11779
Podiatrist (Foot Surgery)
201 PORTION RD, STE C
RONKONKOMA, NY 11779
Radiology (Diagnostic Radiology)
201 PORTION RD, SUITE B
RONKONKOMA, NY 11779
Chiropractor
201 PORTION RD
LAKE RONKONKOMA, NY 11779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Shore Medical Group Of Mt Sinai School Of Medicine's NPI number?

The NPI number for North Shore Medical Group Of Mt Sinai School Of Medicine is 1003121013. It was assigned to this organization in the NPPES registry on August 13, 2010. The provider is doing business as North Shore Medical Group.

Where is North Shore Medical Group Of Mt Sinai School Of Medicine located?

North Shore Medical Group Of Mt Sinai School Of Medicine is located at 201 Portion Rd Suite C, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 585-5959.

What is North Shore Medical Group Of Mt Sinai School Of Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for North Shore Medical Group Of Mt Sinai School Of Medicine was last updated on August 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.