South Shore Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

6012692 Issued in NY

Legal business name

SOUTH SHORE PEDIATRICS PC

Practice address

431 Beach 129TH St
Belle Harbor, NY 11694-1516

Phone

(718) 945-2600

Fax

(718) 945-3987

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Raifman, MD

Title

Owner

Phone

(718) 945-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Sharon Michele Perlman, D.O.

  • Pediatrics Physician
  • Elmont, NY
  • NPI 1558398305
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245213875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940073",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116940073",
            "telephone_number": "718-945-2600",
            "fax_number": "718-945-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BEACH 129TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941516",
            "telephone_number": "718-945-2600",
            "fax_number": "718-945-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAIFMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-945-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "6012692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01427081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sblutsteininc
• Rachel Marie Selman, OTR/L
• Bridget Sirgiovanni
• Jennifer Sitler-Redpath, MA, CCC/SLP
• Elana Rebecca Skyer, MA, CCC - SLP
• Valencia Steele
• Jamie Svenson, LCSW
• Anne Elizabeth Sweeney-Meade, MS CCC SLP
• Matthew Tagliavia, PHARM D
• Barbara J, Tawil, LMSW

• Pediatrics Physician in Belle Harbor, NY
• Providers in Belle Harbor, NY by specialty
• Pediatrics Physician in New York

• 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.