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DR. MICHAEL NUSSBAUM M.D.
NPI 1356458442
Pediatrics - Adolescent Medicine in Holbrook, NY

Active since August 24, 2006
270 UNION AVE, HOLBROOK, NY 11741(631) 588-4442 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Nussbaum M.d. NPPES

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

DR. MICHAEL NUSSBAUM M.D. (NPI 1356458442) is an individual adolescent medicine provider in Holbrook, New York, licensed in New York (124424) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356458442
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MICHAEL NUSSBAUMCredential: M.D.
Location Address270 UNION AVEHolbrook, NY 11741-1823
Mailing Address62 Old Homestead RdPort Jefferson, NY 11777-1185
Phone(631) 588-4442
Sole ProprietorYes
Enumeration DateAugust 24, 2006
Last NPPES UpdateNovember 22, 2011
✔ NPI 1356458442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 124424
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
270 UNION AVE, Holbrook, NY 11741
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Other Identifiers 2

Medicaid00306170NY
Medicare UPIND72555NY

Other Providers at the Same Location NPPES 19

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

MS. LACI NICOLE COOK CPNP
Nurse Practitioner (Pediatrics)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
FREED, SCHERZ, KLEINBERG, NUSSBAUM & FESTA, MD, LLP
Legal Medicine
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-7973
DEBRA ANNE REILLY PNP
Nurse Practitioner (Pediatrics)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
MRS. BARBARA LORETTA KOLK-SEDA RPAC
Physician Assistant (Medical)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
MRS. PHYLLIS G SIMON-GOLDMAN MD
Pediatrics (Adolescent Medicine)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 331-6200
DR. JASON KRONBERG D.O.
Pediatrics
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
DR. ROBERT S FESTA M.D., LIC
Pediatrics (Adolescent Medicine)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442
MS. PATRICIA J. SONDGEROTH RPAC
Physician Assistant (Medical)
270 UNION AVE
HOLBROOK, NY 11741
Suffolk County (631) 588-4442

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 Michael Nussbaum's NPI number?

The NPI number for Michael Nussbaum is 1356458442. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Michael Nussbaum located?

Michael Nussbaum practices at 270 Union Ave, Holbrook, NY 11741. The listed phone number is (631) 588-4442.

What is Michael Nussbaum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Michael Nussbaum was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.