South Shore Family Practice Associates PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

190554 Issued in NY

Legal business name

SOUTH SHORE FAMILY PRACTICE ASSOCIATES PC

Practice address

369 E Main St
Suite 3
East Islip, NY 11730-2800

Phone

(631) 581-4500

Fax

(631) 581-5905

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Jeanne Giel

Title

Office Manager

Phone

(631) 581-4500

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9598/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306971825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302800",
            "telephone_number": "631-581-4500",
            "fax_number": "631-581-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302800",
            "telephone_number": "631-581-4500",
            "fax_number": "631-581-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE FAMILY PRACTICE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-581-4500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "190554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Josephine Slonecki, DDS
• David J Smith Jr.
• Melissa Smith, LMSW
• Stephanie Grace Smith
• Solaiman Chowdhury Medical Care PC
• South Shore Gynecology Obstetrics Associates PC
• South Shore Mental Health Counseling Services,PC
• Kim Stacey Spicciatie, LCSW
• Alyse Sharon Spinner, LCSW-R
• Lisa Spitalny

• Family Medicine Physician in East Islip, NY
• Providers in East Islip, NY by specialty
• Family Medicine 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.