South Baldwin Facilities Management Corp

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTH BALDWIN FACILITIES MANAGEMENT CORP

Practice address

865 Merrick Rd
Baldwin, NY 11510-3338

Phone

(631) 629-4845

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Shashi Shah, M.D.

Title

President

Phone

(631) 629-4845

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1336580851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 MERRICK RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103338",
            "telephone_number": "631-629-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 MERRICK RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103338",
            "telephone_number": "631-629-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BALDWIN FACILITIES MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-629-4845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Soller
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• Rajenie Somra
• Yu Ri Song, LAC
• Katherine Sotack, LMSW
• South Nassau Communities Hospital
• South Nassau Communities Hospital
• South Shore Asociation for Independent Living, Inc.
• South Shore Family Medicine,PC
• South Shore Orthodontics, LLC

• Urology Physician in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.