South Shore General Surgery PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

209074 Issued in NY

Legal business name

SOUTH SHORE GENERAL SURGERY PC

Practice address

2 Main St
Hempstead, NY 11550-4020

Phone

(516) 379-1495

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Ava Donaldson

Title

Office Manager

Phone

(516) 379-1495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1245479153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3387 COURTNEY PL",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105012",
            "telephone_number": "516-379-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504020",
            "telephone_number": "516-379-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE GENERAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-379-1495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "209074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilu Soria, FNP
• South Franklin Enterprises Inc
• South Franklin Pharmacy Inc.
• South Nassau Physical Therapy
• South Nassau Physical Therapy PC
• Southwood Family Dental PC
• Jasmin Sowell-Spears
• Jean Spence
• Peter Spiak, MHC-LP
• Sports Medicine & Spine Rehab, PC

• Surgery Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.