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

Northwell Health

Organization Gastroenterology Physician · NPI 1538104377

Northwell Health is a Gastroenterology Physician in Mineola, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

300 Old Country Rd Ste 31
Mineola, NY 11501-4112
Phone: (516) 742-5252
Fax: (516) 742-7623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1538104377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sushil Sharma — President · (516) 742-5252
NPI enumeratedJune 17, 2006
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address300 Old Country Rd Ste 31, Mineola, NY 11501-4112

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