NORTH SHORE MEDICAL GROUP
NPI 1669854824
Family Medicine in Hewlett, NY

Active since June 24, 2015
1436 BROADWAY, HEWLETT, NY 11557(929) 210-6570(929) 210-6571 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 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 1669854824) is a healthcare organization registered as a family medicine in Hewlett, New York and active in the NPI registry since June 2015. The organization lists Alicia Gresham, Vp Network Operations, as its authorized official.

NPPES Registry Identity

NPI1669854824
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Location Address1436 BROADWAYHewlett, NY 11557-1405
Mailing Address1436 BroadwayHewlett, NY 11557-1405 · (929) 210-6570 · Fax (929) 210-6571
Fax(929) 210-6571
Organization SubpartYesParent: Mount Sinai Medical Center
Authorized OfficialAlicia GreshamVp Network Operations · (212) 659-9038
Enumeration DateJune 24, 2015
NPI 1669854824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
1436 BROADWAY, Hewlett, NY 11557

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

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
1436 BROADWAY
HEWLETT, NY 11557
Pediatrics
1436 BROADWAY
HEWLETT, NY 11557
Nurse Practitioner (Family)
1436 BROADWAY
HEWLETT, NY 11557
Obstetrics & Gynecology
1436 BROADWAY
HEWLETT, NY 11557
Family Medicine
1436 BROADWAY
HEWLETT, NY 11557
Pediatrics
1436 BROADWAY
HEWLETT, NY 11557
Internal Medicine
1436 BROADWAY
HEWLETT, NY 11557
Nurse Practitioner (Family)
1436 BROADWAY
HEWLETT, NY 11557

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 1669854824. It was assigned to this organization in the NPPES registry on June 24, 2015. 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 1436 Broadway, Hewlett, NY 11557. The listed phone number is (929) 210-6570.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 June 24, 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.