| Square Care Medical Group, Llp | |
| 
					40 Crossways Park Dr Woodbury NY 11797-2036  | |
| (516) 496-3900 | |
| Not Available | 
| Full Name | Square Care Medical Group, Llp | 
|---|---|
| Speciality | Obstetrics & Gynecology | 
| Location | 40 Crossways Park Dr, Woodbury, New York | 
| Authorized Official Name and Position | Henry K Prince (CEO) | 
| Authorized Official Contact | 5164963900 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Square Care Medical Group, Llp 900 Merchants Concourse Ste 216 Westbury NY 11590-5114 Ph: (516) 758-2556  | Square Care Medical Group, Llp 40 Crossways Park Dr Woodbury NY 11797-2036 Ph: (516) 496-3900  | 
| NPI Number | 1457392763 | 
|---|---|
| Provider Enumeration Date | 06/09/2006 | 
| Last Update Date | 03/19/2019 | 
| Medicare PECOS PAC ID | 7012938434 | 
|---|---|
| Medicare Enrollment ID | O20051220000236 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457392763 | NPI | - | NPPES | 
| Provider Name | Marc J Messineo | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1548232093 PECOS PAC ID: 1052224136 Enrollment ID: I20031106000317  | 
| Provider Name | Scott F Nodelman | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1780753830 PECOS PAC ID: 7315835469 Enrollment ID: I20040309001138  | 
| Provider Name | Robert M Nadell | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1801825344 PECOS PAC ID: 4284525536 Enrollment ID: I20040324000676  | 
| Provider Name | Melissa H Oppenheim | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1871501775 PECOS PAC ID: 6204826613 Enrollment ID: I20040517001191  | 
| Provider Name | Jacqueline Pandolfi | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1225197866 PECOS PAC ID: 6507840428 Enrollment ID: I20040616001583  | 
| Provider Name | Gilad A Greenberg | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1356425797 PECOS PAC ID: 5294713608 Enrollment ID: I20040712001203  | 
| Provider Name | Dreux R Patton | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1699852384 PECOS PAC ID: 3072593995 Enrollment ID: I20040721001748  | 
| Provider Name | Dorothy Min | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1548267974 PECOS PAC ID: 6800857491 Enrollment ID: I20041027000021  | 
| Provider Name | Christopher J Berard | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1013921592 PECOS PAC ID: 5395709026 Enrollment ID: I20041112000871  | 
| Provider Name | Jennifer T Hanauer | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1679626873 PECOS PAC ID: 7113985227 Enrollment ID: I20041221000584  | 
| Provider Name | Salvatore A Lopresti | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1952330318 PECOS PAC ID: 1658324702 Enrollment ID: I20050301000319  | 
| Provider Name | Lucy P Gade | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1700856325 PECOS PAC ID: 4082634134 Enrollment ID: I20051203000055  | 
| Provider Name | Jeanine K Morris-rush | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1831275494 PECOS PAC ID: 8022030501 Enrollment ID: I20051227000493  | 
| Provider Name | Henry K Prince | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1518043173 PECOS PAC ID: 5395767214 Enrollment ID: I20051227000502  | 
| Provider Name | Philip A Schoenfeld | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1104903293 PECOS PAC ID: 5597787077 Enrollment ID: I20051227000550  | 
| Provider Name | Julia Aronovich | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1619053535 PECOS PAC ID: 8224045521 Enrollment ID: I20060310000633  | 
| Provider Name | Randi M Rothstein | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1437233863 PECOS PAC ID: 0941244578 Enrollment ID: I20060323000080  | 
| Provider Name | Christine Melgar | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1598849911 PECOS PAC ID: 3678517208 Enrollment ID: I20060323000100  | 
| Provider Name | Matthew J Dilena | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1710927363 PECOS PAC ID: 1052312360 Enrollment ID: I20070129000356  | 
| Provider Name | Anita F Sadaty | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1447349295 PECOS PAC ID: 8820199813 Enrollment ID: I20070720000235  | 
| Provider Name | Helaine F Larsen | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1730207135 PECOS PAC ID: 6608964481 Enrollment ID: I20071112000433  | 
| Provider Name | Michelle A Smith-levitin | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1285794305 PECOS PAC ID: 6709974330 Enrollment ID: I20071115000547  | 
| Provider Name | Paul Byrne | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1801885835 PECOS PAC ID: 4486733086 Enrollment ID: I20080507000651  | 
| Provider Name | Jessica Ventimiglia | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1740486372 PECOS PAC ID: 7416026141 Enrollment ID: I20080520000787  | 
| Provider Name | Frank Dolisi | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1578652707 PECOS PAC ID: 8325105737 Enrollment ID: I20090330000000  | 
| Provider Name | Jeffrey N Miller | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1568572014 PECOS PAC ID: 7315088705 Enrollment ID: I20100107000526  | 
| Provider Name | Jerry G Ninia | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1457350795 PECOS PAC ID: 7810186236 Enrollment ID: I20110114000736  | 
| Provider Name | Gary M Levine | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1902977796 PECOS PAC ID: 0244267102 Enrollment ID: I20110214000580  | 
| Provider Name | Robert E Berg | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1336105436 PECOS PAC ID: 9032284872 Enrollment ID: I20111223000099  | 
| Provider Name | Diana P Leon | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1649538554 PECOS PAC ID: 2062654122 Enrollment ID: I20130820000642  | 
| Provider Name | Justin M Petrocelli | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1154558856 PECOS PAC ID: 3274777511 Enrollment ID: I20130926000370  | 
| Provider Name | Helen H Park | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1740417633 PECOS PAC ID: 4486881828 Enrollment ID: I20131211000149  | 
| Provider Name | Kerry Anp Cummings | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1093981540 PECOS PAC ID: 1456581800 Enrollment ID: I20140304000243  | 
| Provider Name | Wendy C Farrar | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1891859567 PECOS PAC ID: 1355571522 Enrollment ID: I20140310000175  | 
| Provider Name | Georgia L Vnook Early | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750473575 PECOS PAC ID: 7012148273 Enrollment ID: I20140401001385  | 
| Provider Name | Ilia E Calluzzo | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1073741351 PECOS PAC ID: 4385876069 Enrollment ID: I20140411000014  | 
| Provider Name | Loren Lyons | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1053641928 PECOS PAC ID: 9638392277 Enrollment ID: I20140528002041  | 
| Provider Name | Lisa E Tepfer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861737280 PECOS PAC ID: 0345468385 Enrollment ID: I20140904000798  | 
| Provider Name | Paul Husserl | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1821249574 PECOS PAC ID: 2769601491 Enrollment ID: I20140911001509  | 
| Provider Name | Anne-marie Wise | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639555428 PECOS PAC ID: 2860793973 Enrollment ID: I20151215001238  | 
| Provider Name | Ella Uvadyeva | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1003110180 PECOS PAC ID: 4183928260 Enrollment ID: I20160210001442  | 
| Provider Name | Cecilia Vanisky | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1225253222 PECOS PAC ID: 7719201300 Enrollment ID: I20160405002492  | 
| Provider Name | Eileen L Perry | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942483649 PECOS PAC ID: 1254628761 Enrollment ID: I20160928000124  | 
| Provider Name | Chris Raju | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1992119812 PECOS PAC ID: 0244585727 Enrollment ID: I20180625002676  | 
| Provider Name | Lauren Patricia Attwood | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356821805 PECOS PAC ID: 9931450269 Enrollment ID: I20180925002591  | 
| Provider Name | Krista Wasserman | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1063806552 PECOS PAC ID: 2163776444 Enrollment ID: I20190613001426  | 
| Provider Name | Jenna Kaiserman | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1881004141 PECOS PAC ID: 2769716893 Enrollment ID: I20190624003159  | 
| Provider Name | Roseanna Miller | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1558711135 PECOS PAC ID: 4284059205 Enrollment ID: I20200806003377  | 
| Provider Name | Tatyana Zubkina | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1649634676 PECOS PAC ID: 9335483627 Enrollment ID: I20200916001168  | 
| Provider Name | Catherine Beecher | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1164841151 PECOS PAC ID: 6406107069 Enrollment ID: I20201215002796  | 
| Provider Name | Rosa Casamassa | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659956035 PECOS PAC ID: 7810306479 Enrollment ID: I20210511002308  | 
| Provider Name | Michael Santandreu | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1346744463 PECOS PAC ID: 0345594800 Enrollment ID: I20220707002325  | 
| Provider Name | Sara Pauline Valentino-smith | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1760989693 PECOS PAC ID: 9537541339 Enrollment ID: I20220726002117  | 
| Provider Name | Shahla M Powell | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1487141743 PECOS PAC ID: 3971989070 Enrollment ID: I20220927001910  | 
| Provider Name | Linda Aranbayeva | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1386310019 PECOS PAC ID: 0941677074 Enrollment ID: I20221102003030  | 
| Provider Name | Daniil Khaitov | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1215496419 PECOS PAC ID: 3971838046 Enrollment ID: I20230703002931  | 
| Provider Name | Michelle Soloff | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1972062164 PECOS PAC ID: 3870828999 Enrollment ID: I20230925000197  | 
| Provider Name | Alexandra Stang | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659054831 PECOS PAC ID: 4587018106 Enrollment ID: I20230929001365  | 
| Provider Name | David Toubiyan | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1538789128 PECOS PAC ID: 4880132075 Enrollment ID: I20240820000248  | 
| Provider Name | Yarrell Afi Ametewee | 
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional | 
| Provider Identifiers | NPI Number: 1568116028 PECOS PAC ID: 6800316845 Enrollment ID: I20250221000259  | 
| Provider Name | Feiyan Su | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467909499 PECOS PAC ID: 7517484330 Enrollment ID: I20250506001109  | 
| Provider Name | Patina Lui | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1033504352 PECOS PAC ID: 7719223932 Enrollment ID: I20250508002885  | 
Prince Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 Crossways Park Dr Suite 200, Woodbury, NY 11797 Phone: 516-802-5025 Fax: 516-802-5026  | |
Wetchler Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Crossways Park Dr Ste Ll7, Woodbury, NY 11797 Phone: 516-212-7630 Fax: 516-200-2482  | |
Robert Courgi Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8565 Jericho Tpke, Woodbury, NY 11797 Phone: 917-913-9993  | |
Essential Medical Diagnostics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Eagle Chase, Woodbury, NY 11797 Phone: 516-364-2282  | |
Evidence Based Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Froehlich Farm Blvd, Woodbury, NY 11797 Phone: 516-801-0170 Fax: 845-230-6639  | |
Bayside Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Eagle Chase, Woodbury, NY 11797 Phone: 516-364-2282 Fax: 516-364-8928  |