SOUTH SHORE COMPREHENSIVE MEDICAL GROUP, PC (NPI# 1740272087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740272087 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE COMPREHENSIVE MEDICAL GROUP, PC |
| Practice Address |
500 W Main St Suite 110 Babylon NY 11702-3027 |
| Mailing Address |
4567 Crossroads Park Dr 2nd Floor Liverpool NY 13088-3589 |
| Practice Telephone | 6316694500 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PEDRO H CALVES (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6316694500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
167384 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
500 W MAIN ST SUITE 110 |
| City | BABYLON |
| State | NY |
| Zip Code | 11702-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114202 | Marion B Rose | Pediatrics | 500 W Main St, Suite 204, Babylon, NY 11702-3027 | 2005-06-15 |
| 1154852010 | Alan Christopher Vazquez Escalante | Family Medicine | 500 W Main St, Babylon, NY 11702-3027 | 2017-03-22 |
| 1144614348 | Giancarlo De Carolis | Family Medicine | 500 W Main St, Babylon, NY 11702 | 2015-03-25 |
| 1285900969 | Stephanie M Aguirre | Physician Assistant | 500 W Main St, Suite 116, Babylon, NY 11702-3027 | 2012-03-28 |
| 1508169079 | Ny Anesthesiology Consultants Pllc | Specialist | 500 W Main St, Suite, Babylon, NY 11702-3027 | 2010-12-06 |
| 1336387083 | Christine Ann Stamatos | Nurse Practitioner | 500 W Main St, Suite #110, Babylon, NY 11702-3027 | 2009-02-02 |
| 1790930113 | Jonathan Adam Finkelstein | Anesthesiology | 500 W Main St, Suite 116, Babylon, NY 11702-3027 | 2008-11-26 |
| 1477700698 | Addie Dissick | Internal Medicine | 500 W Main St, Suite 110, Babylon, NY 11702-3027 | 2008-08-19 |
| 1265696694 | Silvia Gina Geraci | Physical Medicine & Rehabilitation | 500 W Main St, Suite 116, Babylon, NY 11702-3027 | 2008-07-15 |
| 1740441831 | Arthur William Pallotta | Orthopaedic Surgery | 500 W Main St, Suite 204, Babylon, NY 11702-3027 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1972047124 | Joanne Renee Wenner I | Massage Therapist | 28 Yacght Club Rd, Babylon, NY 11702 | 2016-12-07 |
| 1841743846 | Brian Christopher Penta | Specialist | 11 East Jackson Avenue, Babylon, NY 11702 | 2016-07-27 |
| 1760836654 | Elizabeth Duggan | Registered Nurse | 1 Farmingdale Rd., West Babylon, NY 11702 | 2016-04-18 |
| 1679936595 | Brianna Michelle Renda | Nurse Practitioner | 38 James Street, Babylon, NY 11702 | 2016-03-29 |
| 1861801672 | Margaret Stroehlein | Nurse Practitioner | 28 Edward Ave, Babylon, NY 11702 | 2014-08-06 |
| 1164777397 | Kim Suzanne Sconzo | Speech-Language Pathologist | 10 Grant Ave W., Babylon, NY 11702 | 2012-07-13 |
| 1437459674 | Katz & Wood Inc | Audiologist-Hearing Aid Fitter | 20 Argyle Square, Babylon, NY 11702 | 2010-10-21 |
| 1053643668 | Andrea Wilkinson Ohle | Marriage & Family Therapist | 74 Fire Island Avenue, Suite 104, Babylon, NY 11702 | 2010-02-06 |
| 1477880771 | Robert E Gribbin | Physical Therapist | 400 W Main Street, Suite 340, Babylon, NY 11702 | 2009-11-06 |
| Find all providers in zip 11702 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484115 | Pedro H Calves | Internal Medicine | 26a John St, Babylon, NY 11702-2905 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197739 | Amna Omer Internal Medicine PC | Internal Medicine | 423 W 55th St Fl T4, New York, NY 10019-4460 | 2019-10-30 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1699284281 | Long Island Pulmonary Rehabilitation PC | Internal Medicine | 326 W Neck Rd, Huntington, NY 11743-1725 | 2017-09-26 |
| 1124478987 | Islandwide Medical Pllc | Internal Medicine | 275 Helm Ln, Bay Shore, NY 11706-8118 | 2016-06-13 |
| 1578968657 | Pulmonary and Sleep Medical PC | Internal Medicine | 2523 Avenue O, Brooklyn, NY 11210-5230 | 2014-10-30 |
| 1891101853 | Purav Chetan Shah | Internal Medicine | 515 W 59th St Apt 5p, New York, NY 10019-1264 | 2014-07-10 |
| 1982027744 | Osvaldo Fulco | Internal Medicine | 120 Turtle Cove Ln, Huntington, NY 11743-3858 | 2014-01-30 |
| 1174865315 | Harish Patel Pulmonary & Sleep, Pllc | Internal Medicine | 132 Saint Nicholas Ave, Brooklyn, NY 11237-4034 | 2013-03-26 |
| 1417299934 | Peter Stangel | Internal Medicine | 512 Devries Ct, Piermont, NY 10968-1068 | 2013-03-22 |
| 1083963458 | Nadia Pletukhina | Internal Medicine | 530 1st Ave Ste 5d, New York, NY 10016 | 2012-08-31 |
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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.