South Shore Medical Services PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

SOUTH SHORE MEDICAL SERVICES PLLC

Practice address

1175 Montauk Kwy
Suite 6
West Islip, NY 11795

Phone

(631) 422-5371

Fax

(631) 893-8012

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Salvatore Palumbo, MD

Title

Owner

Phone

(631) 422-5371

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1164087375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK KWY",
            "address_2": "SUITE 6",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-422-5371",
            "fax_number": "631-893-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK KWY",
            "address_2": "SUITE 6",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-422-5371",
            "fax_number": "631-893-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-422-5371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Shore Orthopaedic Associates
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• Southbay Cardiovascular Assoc PC
• Kristen Spargo, OT

• Medical Physician Assistant in West Islip, NY
• Providers in West Islip, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.