Gary Shore MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

179490 Issued in NY

Legal business name

GARY SHORE MD PC

Practice address

31 Merrick Ave
Suite 230
Merrick, NY 11566-3477

Phone

(516) 377-2820

Fax

(516) 378-2968

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary J Shore, M.D.

Title

President

Phone

(516) 377-2820

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Catherine D Maynard, NP

  • Nurse Practitioner
  • Roslyn, NY
  • NPI 1346351384
  NPD (past)
• Sandra Maria Wolf, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1104086487
  NPD (past)

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1295962751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 E LEXINGTON AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725420",
            "telephone_number": "516-377-2820",
            "fax_number": "516-378-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE",
            "address_2": "SUITE 230",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663477",
            "telephone_number": "516-377-2820",
            "fax_number": "516-378-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY SHORE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-377-2820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DP304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "179491N01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman Harvey Ayo Gamboa, PT
• Maximillian Phillip Ganz, DO
• Nicole Marie Gardocki, PA-C
• Garfield Pharmacy of Merrick Inc
• Martin Garfield, DDS
• Paul Gasataya, PT
• Ayana Kai Gaston, L.M.T.
• Edward Valentine Gauss, RPH.
• Natalya Gazizov, MD
• Alyssa Gecsedi

• Internal Medicine Physician in Merrick, NY
• Providers in Merrick, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.