Organization Active NPI

South Shore Pulmonary,Critical Care & Sleep Medicine,PLLC

  • Pulmonary Disease Physician
  • Long Beach, NY
National Provider Identifier
1053472050
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
233667 Issued in NY
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

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rajeshri Patel, M.D.NPI 1366503344
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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.