| Long Island Comprehensive Medical Care Pllc | |
|
1231 Deer Park Ave North Babylon NY 11703-3104 | |
| (631) 667-0388 | |
| (631) 968-7705 |
| Full Name | Long Island Comprehensive Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1231 Deer Park Ave, North Babylon, New York |
| Authorized Official Name and Position | Khalid Noori (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6316670388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Comprehensive Medical Care Pllc 1231 Deer Park Ave North Babylon NY 11703-3104 Ph: (631) 667-0388 | Long Island Comprehensive Medical Care Pllc 1231 Deer Park Ave North Babylon NY 11703-3104 Ph: (631) 667-0388 |
| NPI Number | 1043588536 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 3678731908 |
|---|---|
| Medicare Enrollment ID | O20120216000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043588536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2416121 (New York) | Primary |
| Provider Name | Wilma Lopez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306803317 PECOS PAC ID: 6901833755 Enrollment ID: I20050722000669 |
| Provider Name | Chetan Sati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699833343 PECOS PAC ID: 5092736785 Enrollment ID: I20051208001009 |
| Provider Name | Khalid Noori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023106838 PECOS PAC ID: 6103924378 Enrollment ID: I20070612000320 |
| Provider Name | Joseph Chandrankunnel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467613950 PECOS PAC ID: 3375619901 Enrollment ID: I20080905000386 |
| Provider Name | Jason L Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316976988 PECOS PAC ID: 6800936329 Enrollment ID: I20100715000336 |
| Provider Name | Michael H Chu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275784670 PECOS PAC ID: 9931387586 Enrollment ID: I20110629000675 |
| Provider Name | Mahmood Afghani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013177401 PECOS PAC ID: 0840460457 Enrollment ID: I20110908001920 |
| Provider Name | John J W Asheld |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699935973 PECOS PAC ID: 2163678384 Enrollment ID: I20120803000309 |
| Provider Name | Chemin M Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689922411 PECOS PAC ID: 4981835154 Enrollment ID: I20140401001908 |
| Provider Name | Omer F Aci |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508178757 PECOS PAC ID: 2961625678 Enrollment ID: I20140528000704 |
| Provider Name | Wilbur J Asheld |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1710247549 PECOS PAC ID: 1355669185 Enrollment ID: I20150407002228 |
| Provider Name | Natacha A Tessono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356668172 PECOS PAC ID: 9032424684 Enrollment ID: I20150812006680 |
| Provider Name | Hiral Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306389937 PECOS PAC ID: 5991082141 Enrollment ID: I20170426001073 |
| Provider Name | Gabrielle A Henriksen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780061689 PECOS PAC ID: 6709141344 Enrollment ID: I20180531000701 |
| Provider Name | Jae Woo Chung |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528448487 PECOS PAC ID: 1850648171 Enrollment ID: I20180718001179 |
| Provider Name | Nicolle A Bergin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093377954 PECOS PAC ID: 5597090258 Enrollment ID: I20190717002674 |
| Provider Name | Evan T Latourrette |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396266516 PECOS PAC ID: 2163761743 Enrollment ID: I20210204002018 |
| Provider Name | Rosa Casamassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659956035 PECOS PAC ID: 7810306479 Enrollment ID: I20210511002308 |
| Provider Name | Ayesha Mannan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497243703 PECOS PAC ID: 6800132317 Enrollment ID: I20210519001865 |
| Provider Name | Gregg Cantor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679936306 PECOS PAC ID: 7810380383 Enrollment ID: I20220204000240 |
| Provider Name | Jessica Ann Kehoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922740752 PECOS PAC ID: 8325425457 Enrollment ID: I20220511001731 |
| Provider Name | Rajiv Pasricha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023672953 PECOS PAC ID: 6204214398 Enrollment ID: I20220601002525 |
| Provider Name | Alexander Latourrette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396301792 PECOS PAC ID: 6002143773 Enrollment ID: I20220713001917 |
| Provider Name | Ehsan Ur Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083272140 PECOS PAC ID: 5294062030 Enrollment ID: I20220801001776 |
| Provider Name | Christopher Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417634528 PECOS PAC ID: 4082078209 Enrollment ID: I20230906003488 |
Innovative Medical Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1350 Deer Park Ave, North Babylon, NY 11703 Phone: 631-940-0409 Fax: 631-940-1834 | |
Jacqueline M Spencer Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1452 Deer Park Ave, North Babylon, NY 11703 Phone: 631-254-8500 Fax: 631-254-8503 | |
Long Island Medical Care Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 Sunrise Highway, North Babylon, NY 11703 Phone: 631-587-6060 Fax: 631-587-1364 | |
Jeffrey M Nakhjavan Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Deer Park Ave, North Babylon, NY 11703 Phone: 631-242-1181 | |
Termini Medical Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1452 Deer Park Ave, North Babylon, NY 11703 Phone: 631-254-4480 Fax: 631-254-4970 | |
Winthrop Medical Affiliates At North Babylon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 Deer Park Ave, Suite 4, North Babylon, NY 11703 Phone: 631-422-3200 Fax: 631-422-6597 |