Bayshore Medical Care, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

172519 Issued in NY

Legal business name

BAYSHORE MEDICAL CARE, P.C.

Practice address

40 Bay Shore Ave
Bay Shore, NY 11706-7929

Phone

(631) 969-8700

Fax

(631) 969-8703

NPI assigned

Nov 13, 2007

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marc Cimmino, D.O.NPI 1669578159

Title

Owner/ Physician

Phone

(631) 969-8700

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, and the practitioner matching its NPPES authorized official.

• Marc Cimmino, D.O.

  • Family Medicine Physician
  • Oakdale, NY
  • NPI 1669578159
  Authorized official Same address or phone

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1457531972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BAY SHORE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067929",
            "telephone_number": "631-969-8700",
            "fax_number": "631-969-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BAY SHORE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067929",
            "telephone_number": "631-969-8700",
            "fax_number": "631-969-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "CIMMINO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "631-969-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "172519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Shore Union Free School District
• Bayshore Chiropractic PC
• Bayshore Eyecare LLC (Sterling Optical)
• Bayshore Home Healthcare, Inc .
• Bayshore Home Healthcare, Inc .
• Bayshore Vision Center,Inc.
• Bayshore Vision Express, LLC (Cohen's Fashion Optical)
• Madeline Beakes, OTR
• Nicole Louis Beaubrun, NP
• Deborah Beauplan

• Family Medicine Physician in Bay Shore, NY
• Providers in Bay Shore, 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 Jun 16, 2015; 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.