Welcome to the Division of Medical Toxicology!

The Division of Medical Toxicology at Northwell Health provides consultation services 24 hours a day, 7 days a week for toxicological emergencies at the LIJ Medical Center, North Shore University Hospital, Cohen’s Children’s Medical Center, and the Staten Island University Hospital.  We sponsor an ACGME accredited fellowship and offer 2 and 4 week medical student electives.


Resident & Student Rotation

General Overview:

  • The Division of Medical Toxicology at Northwell Health offers a unique experience to rotating medical students and residents.  Rotators will gain hands-on experience treating toxicological emergencies in the emergency departments at North Shore University Hospital, Long Island Jewish Medical Center and Cohen Children’s Medical Center, under the supervision of board-certified medical toxicologists as well as medical toxicology fellows-in-training.
  • Rotators attend weekly small-group conferences with our toxicologists and discuss recent cases, landmark articles, recent articles, evidence-based toxicology, board review, and other important topics in medical toxicology.
  • Additionally, rotators spend two days a week at the New York City Poison Control Center to gain experience in managing toxicological emergencies over the phone, as well as to attend didactics and journal club delivered by nationally renowned toxicologists.

By the end of the rotation:

  • Rotators will have written an “evidence-based toxicology” report which is a literature review attempting to answer a question in toxicology which has yet to be answered.
  • Several of these reports are published in the Toxicology section of the ACEP newsletter.
The Faculty


David C. Lee, MD

Dr. David C. Lee graduated from Boston University Medical School and completed his Emergency Medicine residency at the former Medical College of Pennsylvania (Drexel).  He completed his Toxicology fellowship at the Mercy Catholic Medical Center (Drexel).  He is presently the Chief of the Division of Medical Toxicology and the Associate Chair at North Shore University Hospital. His research interests change weekly.

Joshua Nogar, MD

Dr. Nogar was born in Nebraska, raised in New Mexico, attended college at Iowa State University, and graduated from NYU-Med.  He completed his EM residency at the University of New Mexico, followed by a Toxicology fellowship at the University of California – San Diego.  After countless years of formal education, he moved back to NYC in 2011, where he works as Assistant Professor of EM/Tox at North Shore University Hospital and Long Island Jewish Medical Center.  Together with Dr. David Lee, he oversees the NSUH Medical Toxicology Fellowship.  His academic interests include critical care and recreational / emerging drugs of abuse.  Personal interests are fly fishing, anything outdoors, English Premier League & La Liga soccer, scotch, and local beer.
Jeena Jacob, MD, PharmD 

Dr. Jacob graduated from the Rutgers College of Pharmacy where she earned her PharmD. She then went on to earn her MD from Rutgers Medical School and completed residency at Yale-New Haven Hospital. Her pharmacology background lead her to pursue a fellowship in medical toxicology at the University of Colorado and the Rocky Mountain Poison and Drug Control Center in Denver, CO. She currently serves as the Assistant Director for the Toxicology Fellowship. Dr. Jacob is full time faculty at North Shore University Hospital and Assistant Professor of Emergency Medicine at Hofstra Northwell School of Medicine where she teaches topics related to clinical pharmacology. Her toxicology interests include drugs of abuse and medication safety. She enjoys traveling with her husband and son.

Payal Sud, MD

Dr. Sud graduated from the Medical College of Wisconsin in 2008, and then completed a residency in Emergency Medicine at North Shore University Hospital in 2011. She then completed her fellowship in Medical Toxicology at North Shore University Hospital in 2013. Dr. Sud is currently full time faculty at Long Island Jewish Medical Center as the Associate Program Director for the Emergency Medicine Residency Program. Dr. Sud’s clinical interests include new drugs of abuse and medical education. During her free time, Dr. Sud enjoys painting, cooking and spending time with her husband Arbi and children Arya and Arjun.

Adam Berman, MD, MS

Dr. Berman grew up outside of Chicago before moving to New Orleans to attend Tulane University, where he graduated with his BS in neuroscience in 2004 and his MS in neuroscience in 2006.  He then graduated with his medical degree from New York Medical College in 2010.  After this Dr. Berman completed an emergency medicine residency at New York Methodist Hospital in Brooklyn, followed by a fellowship in medical toxicology at North Shore University Hospital.  He joined the faculty at Long Island Jewish Medical Center in 2015.  Dr. Berman’s clinical interests include critical care and radiology in the emergency department, medical education and forensic toxicology.  In his spare time Dr. Berman is an avid traveler, loves to cook and try new restaurants, and loves foreign movies.

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