NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC
NPI 1164899605
Clinic/Center - Multi-Specialty in Port Jefferson Station, NY

Q: What is North Shore Hematology/Oncology Associates PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 01, 2015CLIA Certified · 3 labs

1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776(631) 751-3000(631) 751-0506 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2023, Nov 14, 2019, Oct 2, 2019 (3 updates tracked since 2019).

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About North Shore Hematology/oncology Associates Pc NPPES

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

NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC (NPI 1164899605) is a healthcare organization registered as a multi-specialty in Port Jefferson Station, New York and active in the NPI registry since September 2015. The organization holds 3 active CLIA laboratory certificates and lists Patricia Dandraia, Np, as its authorized official.

NPPES Registry Identity

NPI1164899605

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameNORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC

Location Address1500 ROUTE 112 BLDG 4Port Jefferson Station, NY 11776-8055

Mailing Address1 Research RdRidge, NY 11961-2701 · (631) 751-3000

Phone(631) 751-3000

Fax(631) 751-0506

Organization SubpartNo

Authorized OfficialPatricia DandraiaNp · (631) 751-3000

Enumeration DateSeptember 1, 2015

Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2025

✔ NPI 1164899605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

1500 ROUTE 112 BLDG 4, Port Jefferson Station, NY 11776

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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

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D2223211

North Shore Hematology Oncology Associates PC · Port Jefferson Station, NY

Active · expires Jun 2, 2028

CLIA Number33D2223211

Laboratory TypePhysician Office

Certificate Effective DateJune 3, 2026

Certificate Expiration DateJune 2, 2028

Laboratory DirectorDr. Riem El-Sabbagh Badr

Laboratory Phone(631) 574-8396

Laboratory LocationNorth Shore Hematology Oncology Associates PC1500 Route 112, Building 4 , Suite 102, Port Jefferson Station, NY 11776

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D2141642

North Shore Hematology-Oncology Associates, PC Dba Ny Cancer Specialist · Port Jefferson Station, NY

Active · expires Mar 26, 2027

CLIA Number33D2141642

Laboratory TypeIndependent

Certificate Effective DateDecember 19, 2017

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorRiem Badr

Laboratory Phone(631) 663-4861

Laboratory LocationNorth Shore Hematology-Oncology Associates, PC Dba Ny Cancer Specialist1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D0159503

North Shore Hematology Oncology Associates PC Dba New York Health · Port Jefferson Station, NY

Active · expires Oct 22, 2027

CLIA Number33D0159503

Laboratory TypePhysician Office

Certificate Effective DateOctober 23, 2025

Certificate Expiration DateOctober 22, 2027

Laboratory DirectorDr. Alfredo Torres

Laboratory Phone(631) 675-3325

Laboratory LocationNorth Shore Hematology Oncology Associates PC Dba New York Health5316 Nesconset Highway, Port Jefferson Station, NY 11776

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D2141867

North Shore Hematology-Oncology Associates PC Dba New York Cancer Blood Specialists 347 · Port Jefferson Station, NY

Expired · Oct 22, 2026

CLIA Number33D2141867

Laboratory TypePhysician Office

Certificate Effective DateOctober 23, 2024

Certificate Expiration DateOctober 22, 2026

Laboratory DirectorDr. David M. Chu

Laboratory Phone(631) 675-3325

Laboratory LocationNorth Shore Hematology-Oncology Associates PC Dba New York Cancer Blood Specialists 34749 Route 347, Port Jefferson Station, NY 11776

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 14

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

ANDREW T RUIZ

Social Worker

1500 ROUTE 112 BLDG 4, SUITE101
PORT JEFFERSON STATI, NY 11776

Suffolk County (317) 513-0006

DR. WILLIAM J DI SCIPIO PH.D.

Psychologist (Clinical)

1500 ROUTE 112 BLDG 4, SUITE101
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 751-1300

ALEXANDRIA NICOLE VALENTINO

Massage Therapist