Organization Active NPI

Syosset Family Medicine PC

  • Family Medicine Physician
  • Syosset, NY
National Provider Identifier
1700578754
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SYOSSET FAMILY MEDICINE PC
Practice address
6500 Jericho Tpke Ste Le
Syosset, NY 11791-4489
Phone
(845) 593-2236
Fax
(845) 593-2237
NPI assigned
May 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Shen-Han Lin, DONPI 1225230154
Title
Ceo
Phone
(516) 509-8499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6500 Jericho Tpke Ste Le
Syosset, NY 11791-4489

Mailing address

6500 Jericho Tpke Ste Le
Syosset, NY 11791-4489
Phone (845) 593-2236

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2297243Syosset Family Medicine PC6500 Jericho Turnpike, Le, Syosset, NY 11791Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

6500 Jericho Tpke
Ste Le
Syosset, NY 11791
Phone (845) 593-2236

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1700578754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 JERICHO TPKE STE LE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914489",
            "telephone_number": "845-593-2236",
            "fax_number": "845-593-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 JERICHO TPKE STE LE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914489",
            "telephone_number": "845-593-2236",
            "fax_number": "845-593-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYOSSET FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "SHEN-HAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-509-8499",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.