North Shore Complete Medical PC
NPI 1164042156ActiveOrganization· Internal Medicine, Cardiovascular Disease· Manhasset, NY
Internal Medicine, Cardiovascular Disease in Manhasset, New York, registered in NPPES in April 2020. The authorized official on file is Omid Javdan, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164042156 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2020 |
| Last updated in NPPES | Apr 20, 2020 |
| Certified by provider | Apr 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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