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Physician Compare National (NPI:1952339913)

HEALTHCARE PROVIDER: WILLIAM A HEALY III MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1952339913
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5294911459
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110524000576
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HEALY
Individual professional last name
Provider First Name WILLIAM
Individual professional first name
Provider Middle Name A.
Individual professional middle name
Provider Name Suffix Text III
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK MEDICAL COLLEGE
Individual professional's medical school
Graduation Year 1991
Individual professional's medical school graduation year
Primary Specialty ORTHOPEDIC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name NORTH SHORE-LIJ MEDICAL PC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 3375701568
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 4080
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 196 E MAIN ST
Group Practice or individual's line 1 address
City HUNTINGTON
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 117432922
Group Practice or individual's zip code (9 digits when available)
Phone Number 6312718030
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 330045
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 NS/LIJ HS HUNTINGTON HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 330106
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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