SOUTH SHORE SC, LLC (NPI# 1508005976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508005976 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE SC, LLC |
| Practice Address |
53 Brentwood Rd Bay Shore NY 11706-6923 |
| Practice Telephone | 7817332235 |
| Practice Fax Number | 9735061887 |
| Mailing Telephone | 7817332235 |
| Mailing Fax Number | 9735061887 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |
| Authorized Official Name | CHERYL A EZERSKIS (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7817332235 |
| Authorized Official Credential | MLT, CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
53 BRENTWOOD RD |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-6923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932125689 | Edward W Kalten Jr. | Physical Therapist | 53 Brentwood Rd, Suite B, Bay Shore, NY 11706-6923 | 2006-07-14 |
| 1013155746 | Ultra Health Pt & Pta, Pllc | Physical Therapy Assistant | 53 Brentwood Rd, Suite B, Bay Shore, NY 11706-6923 | 2009-02-03 |
| 1174768923 | Bethpage Orthopaedics PC | Orthopaedic Surgery | 53 Brentwood Rd, Suite A, Bay Shore, NY 11706-6943 | 2008-12-09 |
| 1912005711 | John A Saugy Jr. | Orthopaedic Surgery | 53 Brentwood Rd, Suite A, Bay Shore, NY 11706-6948 | 2006-09-20 |
| 1457368292 | Neil Louis Bellet | Dermatology | 53 Brentwood Rd, Suite D, Bay Shore, NY 11706-6943 | 2006-08-02 |
| 1710901558 | Leonard Vito Gioia | Internal Medicine | 53 Brentwood Rd, Suite E, Bay Shore, NY 11706-6943 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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| 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.