NPIMap

Organization Active NPI

South Shore Gynecology Obstetrics Associates PC

  • Obstetrics & Gynecology Physician
  • East Islip, NY
National Provider Identifier
1255439113
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTH SHORE GYNECOLOGY OBSTETRICS ASSOCIATES PC
Practice address
83 West Main Street
East Islip, NY 11730-2319
Phone
(631) 277-5800
Fax
(631) 277-1936
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Mrs. Paula S Hirt, M.D.
Title
Owner
Phone
(631) 277-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

83 West Main Street
East Islip, NY 11730-2319

Mailing address

83 West Main Street
East Islip, NY 11730-2319
Phone (631) 277-5800

National Provider Directory

National Provider Directory

Locations

83 W Main St
East Islip, NY 11730
Phone (631) 277-5800

Practitioners & affiliated clinicians

Practitioners 10

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1255439113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WEST MAIN STREET",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302319",
            "telephone_number": "631-277-5800",
            "fax_number": "631-277-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WEST MAIN STREET",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302319",
            "telephone_number": "631-277-5800",
            "fax_number": "631-277-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE GYNECOLOGY OBSTETRICS ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "HIRT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-277-5800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.