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SOUTHSIDE HOSPITAL DEPARTMENT OF CARDIOLOGY
NPI 1649305228
Internal Medicine - Cardiovascular Disease in Bay Shore, NY

Active since February 22, 2007
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southside Hospital Department Of Cardiology NPPES

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

SOUTHSIDE HOSPITAL DEPARTMENT OF CARDIOLOGY (NPI 1649305228) is a healthcare organization registered as a cardiovascular disease in Bay Shore, New York and active in the NPI registry since February 2007. The organization lists Winifred B. Mack, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649305228
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHSIDE HOSPITAL DEPARTMENT OF CARDIOLOGY
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3000
Phone(631) 968-3000
Organization SubpartYesParent: Southside Hospital
Authorized OfficialWinifred B. MackExecutive Director · (631) 968-3000
Enumeration DateFebruary 22, 2007
Last NPPES UpdateFebruary 7, 2008
✔ NPI 1649305228 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.
301 E MAIN ST, Bay Shore, NY 11706
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Other Identifiers 1

Medicare PINW75831NY

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.

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 Southside Hospital Department Of Cardiology's NPI number?

The NPI number for Southside Hospital Department Of Cardiology is 1649305228. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Southside Hospital Department Of Cardiology located?

Southside Hospital Department Of Cardiology is located at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is Southside Hospital Department Of Cardiology'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 Southside Hospital Department Of Cardiology was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.