Northshore Hospitalist Associates PLLC
NPI 1104609221ActiveOrganization· Internal Medicine· Roslyn Heights, NY
Internal Medicine in Roslyn Heights, New York, registered in NPPES in August 2023. The authorized official on file is Rostislav Tabak, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104609221 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2023 |
| Last updated in NPPES | Aug 15, 2023 |
| Certified by provider | Aug 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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