NORTHSHORE HOSPITALIST ASSOCIATES PLLC
NPI 1104609221
Internal Medicine in Roslyn Heights, NY

Active since August 14, 2023
27 MAGNOLIA LN, ROSLYN HEIGHTS, NY 11577(347) 575-7180 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northshore Hospitalist Associates Pllc NPPES

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

NORTHSHORE HOSPITALIST ASSOCIATES PLLC (NPI 1104609221) is a healthcare organization registered as an internal medicine in Roslyn Heights, New York and active in the NPI registry since August 2023. The organization lists Rostislav Tabak, Md, as its authorized official.

NPPES Registry Identity

NPI1104609221
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHSHORE HOSPITALIST ASSOCIATES PLLC
Location Address27 MAGNOLIA LNRoslyn Heights, NY 11577-1507
Mailing Address27 Magnolia LnRoslyn Heights, NY 11577-1507
Organization SubpartNo
Authorized OfficialRostislav TabakMd · (347) 575-7180
Enumeration DateAugust 14, 2023
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1104609221 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.
27 MAGNOLIA LN, Roslyn Heights, NY 11577

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northshore Hospitalist Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northshore Hospitalist Associates PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1083903041
2 PROHEALTH PLAZA
Lake Success, NY 11042
(516) 674-5858
✔ PECOS✔ Accepts Medicare3.9 mi
Internal Medicine
NPI 1639437585
3 VERMONT DR
New Hyde Park, NY 11042
(516) 674-5858
✔ PECOS✔ Accepts Medicare4.2 mi
Internal Medicine
NPI 1902103823
401 E 34TH ST APT S27G
New York, NY 10016
(347) 575-7180
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northshore Hospitalist Associates PLLC's NPI number?

The NPI number for Northshore Hospitalist Associates PLLC is 1104609221. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Northshore Hospitalist Associates PLLC located?

Northshore Hospitalist Associates PLLC is located at 27 Magnolia Ln, Roslyn Heights, NY 11577. The listed phone number is (347) 575-7180.

What is Northshore Hospitalist Associates PLLC's specialty?

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

Is Northshore Hospitalist Associates PLLC enrolled in Medicare?

Yes. Northshore Hospitalist Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northshore Hospitalist Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Northshore Hospitalist Associates PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northshore Hospitalist Associates PLLC was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.