Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

North Shore Internal Medicine Associates, PC

Organization Internal Medicine Physician · NPI 1407939374

North Shore Internal Medicine Associates, PC is an Internal Medicine Physician in Great Neck, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

560 Northern Blvd Ste 203
Great Neck, NY 11021-5100
Phone: (516) 482-0600
Fax: (516) 829-9674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Pulmonary Disease Physician Taxonomy 207RP1001X

Record details

NPI number1407939374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodie Bloom-Goldstein — Billing Coordinator · (516) 482-0600
NPI enumeratedOctober 23, 2006
Last updated in NPPESDecember 3, 2009
Mailing address560 Northern Blvd, Suite 203, Great Neck, NY 11021-5100

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