Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

North Shore Medical Group of Mt Sinai School of Medicine

Organization Internal Medicine Physician · NPI 1003121013

North Shore Medical Group of Mt Sinai School of Medicine provides Internal Medicine Physician services in Lake Ronkonkoma, New York. Registered with an NPI since 2010.

In the registry since
2010
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Practice location Address checks out

201 Portion Rd Ste C
Lake Ronkonkoma, NY 11779-4172 Not confirmed with CMS for 16 years — call before visiting
Phone: (631) 585-5959
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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

Record details

NPI number1003121013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Street — Administrator · (631) 351-3703
Other names North Shore Medical Group
NPI enumeratedAugust 13, 2010
Last updated in NPPESAugust 13, 2010
Mailing address201 Portion Rd, Suite C, Lake Ronkonkoma, NY 11779-4172

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