SOUTH SHORE GYNECOLOGY OBSTETRICS ASSOCIATES PC (NPI# 1255439113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255439113 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE GYNECOLOGY OBSTETRICS ASSOCIATES PC |
| Practice Address |
83 West Main Street East Islip NY 11730-2319 |
| Practice Telephone | 6312775800 |
| Practice Fax Number | 6312771936 |
| Mailing Telephone | 6312775800 |
| Mailing Fax Number | 6312771936 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | MRS. PAULA S HIRT (OWNER) |
| Authorized Official Telephone | 6312775800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
83 WEST MAIN STREET |
| City | EAST ISLIP |
| State | NY |
| Zip Code | 11730-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092583 | Exchange Ambulance Corporation of The Islips | Ambulance | 190 Carleton Avenue, East Islip, NY 11730 | 2020-01-17 |
| 1629422639 | Wanda Chisolm | Counselor | 107 East Main Street, East Islip, NY 11730 | 2016-04-15 |
| 1689040990 | Ryan George Baist | Pharmacist | 18 Argyle Drive, East Islip, NY 11730 | 2015-08-20 |
| 1225448855 | Michael John Desivo | Dentist | 228 East Main St, East Islip, NY 11730 | 2014-05-05 |
| 1306279401 | Eileen Henry | Specialist | 81 Country Village Lane, East Islip, NY 11730 | 2013-08-13 |
| 1124306659 | Carol A Ryan-behr | Licensed Practical Nurse | 145 Woodland Ave, East Islip, NY 11730 | 2011-08-02 |
| 1154651768 | Helene Dellas-dibona | Social Worker | 216 Carleton Avenue, East Islip, NY 11730 | 2010-01-04 |
| 1952513921 | Lorraine G Ballou | Social Worker | 31 Sherwood Drive, East Islip, NY 11730 | 2007-05-04 |
| 1235271362 | Robert Anthony Domozych Jr. | Dentist | 127 West Main Street, East Islip, NY 11730 | 2007-02-13 |
| 1477614766 | Kathleen O'neill | Counselor | 265 East Main Street, Tranquility Counseling, East Islip, NY 11730 | 2006-12-12 |
| Find all providers in zip 11730 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134343296 | Emily Gubert | Obstetrics & Gynecology | 83 W Main St, East Islip, NY 11730-2319 | 2007-04-12 |
| 1902029697 | Jay A Miller | Obstetrics & Gynecology | 83 W Main St, East Islip, NY 11730-2319 | 2007-04-11 |
| 1760504088 | Paula S Hirt | Obstetrics & Gynecology | 83 W Main St, East Islip, NY 11730-2319 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST ISLIP |
| Zip Code | 11730 |
Please comment or provide details below to improve the information on SOUTH SHORE GYNECOLOGY OBSTETRICS ASSOCIATES PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.