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Export Provider Record NPI 1053688572
North Shore-Lij Medical Pc
Organization Subpart: NO
Active
NPI Number1053688572
NPI TypeNPI-2 Organization
SpecialtyUrology
Provider Details
NPI1053688572
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2011-11-29
Last Updated2025-02-20
Authorized OfficialSharlene Bronstorph
Director
Phone: 5168503999
Mailing Address972 Brush Hollow Rd Finance 5th Floor, Attention William J Fuchs
Westbury, NY 11590-1740
United States
Phone: (516) 876-6065 | Fax: (516) 876-6600
📍 View Map
Primary Practice Address1010 Northern Blvd Ste 110
Great Neck, NY 11021-5306
United States
Phone: (516) 321-7400 | Fax: (516) 321-7498
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208800000X – Urology
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About NPI 1053688572

North Shore-Lij Medical Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053688572. The primary specialty listed is Urology. The organization is located in Great Neck, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-11-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053688572?

NPI 1053688572 belongs to North Shore-Lij Medical Pc, a Urology in Great Neck, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053688572 active?

The current status of NPI 1053688572 in the NPPES registry is Active. The record was last updated on 2025-02-20.

What specialty is NPI 1053688572?

NPI 1053688572 is classified under the taxonomy Urology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053688572?

You can verify NPI 1053688572 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053688572?

The primary practice address on file for NPI 1053688572 is 1010 Northern Blvd Ste 110, Great Neck, NY 11021-5306. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053688572 issued?

NPI 1053688572 was first issued (enumerated) on 2011-11-29. The NPPES record was last updated on 2025-02-20.

Practice Location Map

North Shore-Lij Medical Pc is located at 1010 Northern Blvd Ste 110, Great Neck, NY. Use the map below to find directions or verify the practice location.

📍 1010 Northern Blvd Ste 110, Great Neck, NY 11021-5306  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as North Shore-Lij Medical Pc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162