NORTH SHORE MEDICAL GROUP
NPI 1164623278
Internal Medicine - Gastroenterology in Huntington, NY

Active since May 29, 2007
775 PARK AVE, HUNTINGTON, NY 11743(631) 659-4400(631) 659-4578 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 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 1164623278) is a healthcare organization registered as a gastroenterology in Huntington, New York and active in the NPI registry since May 2007. The organization lists Janet Street, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1164623278
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Location Address775 PARK AVEHuntington, NY 11743-3976
Mailing Address775 Park AveHuntington, NY 11743-3976 · (631) 659-4400 · Fax (631) 659-4578
Fax(631) 659-4578
Organization SubpartNo
Authorized OfficialJanet StreetPractice Administrator · (631) 351-3703
Enumeration DateMay 29, 2007
Last NPPES UpdateOctober 6, 2015
✔ NPI 1164623278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
775 PARK AVE, Huntington, NY 11743

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

571

Medicare enrollment records show 571 clinicians reassign Medicare billing to North Shore Medical Group, which bills Medicare for the services they deliver. Of these, 77 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 43

Diagnostic Radiology143
Internal Medicine71
Cardiovascular Disease (Cardiology)38
Family Practice34
Nurse Practitioner32
Obstetrics/Gynecology30
Gastroenterology27
General Surgery19
35 other specialties177

Nearest to this location (20)

See all 571
Gastroenterology
NPI 1417963455
775 PARK AVE SUITE 115
Huntington, NY 11743
(631) 659-4150
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1285625228
775 PARK AVE SUITE 145
Huntington, NY 11743
(631) 367-5395
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1922018357
775 PARK AVE
Huntington, NY 11743
(631) 659-4050
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1043220460
775 PARK AVENUE SUITE 125
Huntington, NY 11743
(631) 659-4000
✔ PECOS0.1 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1215943121
180 E PULASKI RD
Huntington Station, NY 11746
(631) 425-2121
✔ PECOS✔ Accepts Medicare0.5 mi
Neurology
NPI 1013365816
755 NEW YORK AVE STE 309
Huntington, NY 11743
(631) 351-1250
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1255783387
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 659-4000
✔ PECOS✔ Accepts Medicare1.6 mi
Cardiovascular Disease (Cardiology)
NPI 1104138627
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Endocrinology
NPI 1275953572
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Gastroenterology
NPI 1760833602
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Dermatology
NPI 1306334388
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Internal Medicine
NPI 1538746896
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1124410634
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS1.6 mi
Certified Nurse Midwife (CNM)
NPI 1649757642
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Obstetrics/Gynecology
NPI 1548898869
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Nephrology
NPI 1194929364
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Urology
NPI 1881991495
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Diagnostic Radiology
NPI 1669904322
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Allergy/Immunology
NPI 1821527995
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
Hospitalist
NPI 1285028571
5 CUBA HILL RD
Greenlawn, NY 11740
(631) 628-5000
✔ PECOS✔ Accepts Medicare1.6 mi
See all 571 clinicians

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 North Shore Medical Group Of The Mount Sinai School Of Medicine's NPI number?

The NPI number for North Shore Medical Group Of The Mount Sinai School Of Medicine is 1164623278. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as North Shore Medical Group.

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

North Shore Medical Group Of The Mount Sinai School Of Medicine is located at 775 Park Ave, Huntington, NY 11743. The listed phone number is (631) 659-4400.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is North Shore Medical Group Of The Mount Sinai School Of Medicine enrolled in Medicare?

Yes. North Shore Medical Group Of The Mount Sinai School Of Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Medical Group Of The Mount Sinai School Of Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 571 clinicians in 43 Medicare specialties reassign their Medicare billing to North Shore Medical Group Of The Mount Sinai School Of Medicine. 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. The largest specialties are Diagnostic Radiology (143), Internal Medicine (71) and Cardiovascular Disease (Cardiology) (38). Of these, 77 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 North Shore Medical Group Of The Mount Sinai School Of Medicine was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.