SOUTH SHORE FAMILY MEDICINE,PC (NPI# 1932420817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932420817 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE FAMILY MEDICINE,PC |
| Practice Address |
2280 Grand Ave Suite 208 Baldwin NY 11510-3164 |
| Practice Telephone | 5166234800 |
| Practice Fax Number | 5166238845 |
| Mailing Telephone | 5166234800 |
| Mailing Fax Number | 5166238845 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | MARIE MARINO (BILLING MANAGER) |
| Authorized Official Telephone | 5166239675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2280 GRAND AVE SUITE 208 |
| City | BALDWIN |
| State | NY |
| Zip Code | 11510-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532202 | Denise C Pineau | Physical Therapist | 2280 Grand Ave, Suite 205, Baldwin, NY 11510-3164 | 2005-07-20 |
| 1477801850 | Elisa Linda Reisner | Social Worker | 2280 Grand Ave, Baldwin, NY 11510-3164 | 2012-08-16 |
| 1821305368 | Long Island Psychiatric Services P.C. | Psychiatry & Neurology | 2280 Grand Ave, Suite 207a, Baldwin, NY 11510-3164 | 2010-09-03 |
| 1053630129 | Robert Fisch Md PC | Specialist | 2280 Grand Ave, Suite 201a, Baldwin, NY 11510-3164 | 2010-05-27 |
| 1235377003 | Xiaoya Wang | Acupuncturist | 2280 Grand Ave, Ste 203, Baldwin, NY 11510-3110 | 2009-02-01 |
| 1861646119 | Peter J Ajemian, Md, PC. | Specialist | 2280 Grand Ave, Suite 201a, Baldwin, NY 11510-3164 | 2008-11-13 |
| 1225204324 | Susan Ina Kane | Family Medicine | 2280 Grand Ave, Suite 208, Baldwin, NY 11510-3164 | 2008-05-08 |
| 1083810378 | Szymon Ryszard Hyzak | Psychiatry & Neurology | 2280 Grand Ave, Suite 309, Baldwin, NY 11510-3164 | 2007-06-22 |
| 1619008463 | South Shore Orthodontics, LLC | Dentist | 2280 Grand Ave, Suite 305, Baldwin, NY 11510-3164 | 2007-03-07 |
| 1700921889 | Douglas Scott Milman | Counselor | 2280 Grand Ave, Suite206a, Baldwin, NY 11510-3164 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810657 | Garfield Patrick | Nurse Practitioner | 2044 Pine Street, Baldwin, NY 11510 | 2017-09-25 |
| 1447794557 | Amanda Rose Marcos | Specialist/Technologist | 2830 Laurel Ave, Baldwin, NY 11510 | 2016-12-08 |
| 1184170896 | Steffany Lissette Martinez | Home Health | 606 Rose Blvd, Baldwin, NY 11510 | 2016-09-01 |
| 1992188429 | Robert Bunstead | Specialist | 2475 Soper Ave., Baldwin, NY 11510 | 2015-07-01 |
| 1376926907 | Hazel Mckain | Registered Nurse | 1011 Alexander Pl, North Baldwin, NY 11510 | 2015-07-01 |
| 1922481605 | Nonie Craige | Social Worker | 2811 Tulip Ave, Baldwin, NY 11510 | 2015-06-30 |
| 1942625058 | Stefanie Scherner | Massage Therapist | 2789 Milburn Ave, Baldwin, NY 11510 | 2014-02-26 |
| 1497090476 | Thelma B Grant | Midwife | 1323 Tanwood Dr., Baldwin, NY 11510 | 2012-12-03 |
| 1366712432 | Maria Carmen Antoine | Psychologist | 3098 Ann St, Baldwin, NY 11510 | 2012-01-06 |
| 1992003818 | Carole Marie Mondesir | Nurse Practitioner | 489 Demott Avenue, Baldwin, NY 11510 | 2011-03-01 |
| Find all providers in zip 11510 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326318882 | Kornblit Medical PC | Family Medicine | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220677 | Ellen Mcstravick | Family Medicine | 5530 Sheridan Dr Ste 2, Williamsville, NY 14221-3730 | 2020-09-18 |
| 1598384489 | Jimmy Gelin | Family Medicine | 18639 140th Ave, Springfield Gardens, NY 11413-2617 | 2020-04-11 |
| 1871145011 | Prince Aboagye Dankwah | Family Medicine | 157 Barnes Rd, Washingtonville, NY 10992-1931 | 2019-07-09 |
| 1194206441 | Madison Physician Practice PC | Family Medicine | 983 Park Ave # 1d, New York, NY 10028-0808 | 2018-08-24 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1609380617 | Donna Yu | Family Medicine | 6402 8th Ave Ste 301, Brooklyn, NY 11220-4720 | 2017-11-29 |
| 1720591688 | Jane S Ferraina | Family Medicine | 259 Boughton Hill Rd, Honeoye Falls, NY 14472-9706 | 2017-11-14 |
| 1245750918 | Long Island Nurse Practitioners | Family Medicine | 97 Ronni Dr, East Meadow, NY 11554-1330 | 2017-06-23 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1043762404 | Ji Medical Group PC | Family Medicine | 3825 Parsons Blvd, Ste 1g, Flushing, NY 11354-5837 | 2016-11-01 |
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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.