Active NPI
South Shore Pulmonary,Critical Care & Sleep Medicine,PLLC
- Pulmonary Disease Physician
- Long Beach, NY
National Provider Identifier
1053472050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 233667
- Legal business name
- SOUTH SHORE PULMONARY,CRITICAL CARE & SLEEP MEDICINE,PLLC
- Practice address
- 430 E Bay Dr
Long Beach, NY 11561-2351 - Phone
- (516) 432-1818
- Fax
- (516) 432-9333
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajeshri Patel, M.D.
- Title
- Member
- Phone
- (516) 432-1818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 233667 | NY | Primary |
Addresses
Primary practice location
430 E Bay Dr
Long Beach, NY 11561-2351
Mailing address
430 E Bay Dr
Long Beach, NY 11561-2351
Phone (516) 432-1818
National Provider Directory
National Provider DirectoryLocations
430 E Bay Dr
Long Beach, NY 11561
Phone (516) 561-7001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Port Charlotte, FL
- NPI 1366503344
-
- Surgery Physician
- Rockaway Park, NY
- NPI 1417261785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053472050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E BAY DR",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612351",
"telephone_number": "516-432-1818",
"fax_number": "516-432-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E BAY DR",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612351",
"telephone_number": "516-432-1818",
"fax_number": "516-432-9333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SHORE PULMONARY,CRITICAL CARE & SLEEP MEDICINE,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RAJESHRI",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "516-432-1818",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "233667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.