South Shore Rockaways Ipa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SOUTH SHORE ROCKAWAYS IPA

Practice address

600 Broadway Unit B
Lynbrook, NY 11563-3980

Phone

(516) 823-8900

Fax

(516) 823-0520

NPI assigned

Jul 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert G Makabali, MD

Title

Ceo

Phone

(516) 823-8900

Specialties & licenses 1

Addresses

Tax ID family

Phycare Ipa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phycare Ipa

  • Exclusive Provider Organization
  • Valley Stream, NY
  • NPI 1225469505
  NPD tax ID

Locations

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1659824225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY UNIT B",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633980",
            "telephone_number": "516-823-8900",
            "fax_number": "516-823-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY UNIT B",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633980",
            "telephone_number": "516-823-8900",
            "fax_number": "516-823-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE ROCKAWAYS IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "MAKABALI",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-823-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Nassau Cardiology Services, PC
• South Nassau Medical Group, PC
• South Shore Endodontics PC
• South Shore Internal Medicine Associates, P.C.
• South Shore Nuclear Diagnostics, PC
• Southern Nassau Physical Therapy P C
• Specialty Script RX LLC
• Speech Language Therapeutic Services PC
• Anwar Spells, PT, DPT
• Alba Spetsieris, LPN

• Health Maintenance Organization in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.