South Shore Medical

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

SOUTH SHORE MEDICAL

Practice address

5640 Sunrise Hwy
Sayville, NY 11782-1016

Phone

(516) 761-1668

NPI assigned

Mar 23, 2026

Organization subpart

No

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

Authorized official

Name

Anthony J Lyon, MDNPI 1609197458

Title

Practitioner/Physician

Phone

(516) 761-1668

Specialties & licenses 1

Addresses

Practitioners 1

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

• Anthony J. Lyon, M.D.

  • Family Medicine Physician
  • New York, NY
  • NPI 1609197458
  NPD Authorized official

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1407794282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 SUNRISE HWY",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 SUNRISE HWY",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821016",
            "telephone_number": "516-761-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTITIONER/PHYSICIAN",
        "authorized_official_telephone_number": "516-761-1668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Vincent Skrezyna-Wunsch, LCSW
• Elizabeth C Slack, DC
• Constance Ann Smith, M.S.
• Julia Soldano, MA, CLC
• Sound Mental Health Counseling PLLC
• Patricia Grace Spinella McLary, MS, CCC, SLP
• Alyssa Jenine Stare
• Stephen E. Schaller DMD PC
• Taylor Stevens, MS, OTR/L
• Nicole Deborah Stewart, LMSW

• Sports Medicine (Family Medicine) Physician in Sayville, NY
• Providers in Sayville, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.