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NORTH SHORE COMPLETE MEDICAL PC
NPI 1164042156
Internal Medicine - Cardiovascular Disease in Manhasset, NY

Active since April 20, 2020
300 COMMUNITY DR, MANHASSET, NY 11030(516) 403-9104 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Shore Complete Medical Pc NPPES

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

NORTH SHORE COMPLETE MEDICAL PC (NPI 1164042156) is a healthcare organization registered as a cardiovascular disease in Manhasset, New York and active in the NPI registry since April 2020. The organization lists Omid Javdan, Md, as its authorized official.

NPPES Registry Identity

NPI1164042156
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTH SHORE COMPLETE MEDICAL PC
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address40 Red Brook RdGreat Neck, NY 11024-1439 · (516) 403-9104
Phone(516) 403-9104
Organization SubpartNo
Authorized OfficialOmid JavdanMd · (516) 403-9104
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1164042156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
300 COMMUNITY DR, Manhasset, NY 11030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

SAMIT SHAH M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-1427
DR. SAMANTHA LING PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-8761
DR. DIANA RACHAEL NORDQUIST MD
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-8630
DR. STEPHEN JOHN CIPOT IV D.O.
Emergency Medicine
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 684-7598
MR. JOSE LUIS CRUZ PA-C
Physician Assistant
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
Nassau County (516) 562-3683
SARAH BETH KORNHABER C.R.N.A.
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR, DEPT OF ANESTHESIA
MANHASSET, NY 11030
Nassau County (516) 562-4887
YUSON CHONG NP
Nurse Practitioner (Acute Care)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-2252
THERESA MARY MOUZAKITIS PA
Physician Assistant
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 662-5100

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 Complete Medical PC's NPI number?

The NPI number for North Shore Complete Medical PC is 1164042156. It was assigned to this organization in the NPPES registry on April 20, 2020.

Where is North Shore Complete Medical PC located?

North Shore Complete Medical PC is located at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 403-9104.

What is North Shore Complete Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for North Shore Complete Medical PC was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.