Active NPI
Syosset Family Medicine PC
- Family Medicine Physician
- Syosset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shen-Han Lin, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2297243 | Syosset Family Medicine PC | Certificate of waiver | Jan 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Flushing, NY
- NPI 1225230154
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
- Syosset Central School District
- Syosset Central SD
- Syosset Chiropractic Associates PC
- Syosset Endocrinology PC
- Syosset Family Dental PLLC
- Syosset Fire District
- Syosset Ophthalmology Associates, LLP
- Syosset Optometric Group,PLLC
- Syosset Pharmacy Inc. (Village Pharmacy Of Syosset)
- Syosset Pharmacy Inc. (Village Pharmacy of Syosset LTC)
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.