NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
NPI 1205649118
Internal Medicine - Hematology & Oncology in Riverhead, NY

NPI Status: Active since January 27, 2025

Contact Information

300 OLD COUNTRY RD
RIVERHEAD, NY
ZIP 11901
Phone: (631) 751-3000

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  • Organization
  • Internal Medicine
  • Hematology & Oncology
  • CLIA Number: 33D2311187
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-17-2026

About NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for North Shore Hematology Oncology Associates Pc, an internist established in Riverhead, New York operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1205649118 assigned on January 2025. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated one year ago. North Shore Hematology Oncology Associates Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Patricia Dandraia (Senior Director)

NPI
1205649118
Provider Name
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Entity Type
Organization
Location Address
300 OLD COUNTRY RD RIVERHEAD, NY 11901
Location Phone
(631) 751-3000
Mailing Address
1 RESEARCH RD RIDGE, NY 11961
Mailing Phone
(631) 751-3000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-27-2025
Last Update Date
01-27-2025
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An internist like North Shore Hematology Oncology Associates Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PATRICIA DANDRAIA

Authorized Official Title
SENIOR DIRECTOR
Authorized Official Phone
(631) 751-3000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2311187
Facility Type
Physician Office
Certificate Effective Date
September 18, 2024
Certificate Expiration Date
September 17, 2026
Laboratory Director
MILDRED SCHARF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Shore Hematology Oncology Associates Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205649118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051241812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 2 + 4 + 1 + 8 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1205649118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194349761 ARUSA RASHID BHATTI
Individual
Physician Assistant300 OLD COUNTRY RD
RIVERHEAD, NY 11901
(631) 758-7003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205649118, enumerated in the NPI registry as an "organization" on January 27, 2025

The provider is located at 300 Old Country Rd Riverhead, Ny 11901 and the phone number is (631) 751-3000

This medical organization specializes in Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology

The provider's CLIA number is 33D2311187 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 27, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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