Shore Medical Practice PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

241885 Issued in NY

Legal business name

SHORE MEDICAL PRACTICE PC

Practice address

7 Evelyn Rd
Plainview, NY 11803-4804

Phone

(516) 439-0655

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Neel Mann, M.D.NPI 1881652923

Title

Physician/Owner

Phone

(516) 439-0655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neel Mann, MD

  • Nephrology Physician
  • Amityville, NY
  • NPI 1881652923
  Medicare reassignment NPD Authorized official
• Simon Elliot Prince, D.O.

  • Nephrology Physician
  • Manhasset, NY
  • NPI 1770589285
  NPD

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1164664777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EVELYN RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034804",
            "telephone_number": "516-439-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EVELYN RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034804",
            "telephone_number": "516-439-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "NEEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "516-439-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "241885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zubin Mathew Shirodkar, OTR/L
• Marisa Lauren Shlomo, MS, CCC-SLP
• Heather Shmuely, BCBA
• Franziska A Shoates
• Naomi Gourjia Shohet
• Shore Pharmaceutical Providers LLC (Omnicare of Plainview)
• Parichehr Shoureshi, PHARMD
• David Shukhman, DO
• Richard Shulman
• Farina Ijaz Sial, PA

• Nephrology Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.