Organization Active NPI

South Shore Internal Medicine Associates, P.C.

  • Internal Medicine Physician
  • Lynbrook, NY
National Provider Identifier
1295852069
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH SHORE INTERNAL MEDICINE ASSOCIATES, P.C.
Practice address
158 Hempstead Ave
Lynbrook, NY 11563-1605
Phone
(516) 593-3541
Fax
(516) 599-8307
NPI assigned
Mar 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Ira Weg, MDNPI 1568409803
Title
Vice President
Phone
(516) 593-3541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

158 Hempstead Ave
Lynbrook, NY 11563-1605

Mailing address

158 Hempstead Ave
Lynbrook, NY 11563-1605
Phone (516) 593-3541

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1295852069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 HEMPSTEAD AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631605",
            "telephone_number": "516-593-3541",
            "fax_number": "516-593-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 HEMPSTEAD AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631605",
            "telephone_number": "516-593-3541",
            "fax_number": "516-599-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE INTERNAL MEDICINE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "WEG",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-593-3541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.