Bay Shore Medical Healthcare PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BAY SHORE MEDICAL HEALTHCARE PC

Practice address

59 E Main St
Suite 1
Bay Shore, NY 11706-8364

Phone

(917) 992-8049

NPI assigned

Mar 4, 2024

Last updated

Oct 24, 2024By 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

Dr. Darron Yelling, DONPI 1770744336

Title

President

Phone

(917) 992-8049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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.

• Jennifer Charlene Cruz-Rusielewicz

  • Vascular & Interventional Radiology Physician
  • New Hyde Park, NY
  • NPI 1922639087
  Medicare reassignment Care Compare group NPD
• Danielle L Delpesce, RPA-C

  • Medical Physician Assistant
  • Manhasset, NY
  • NPI 1518207786
  Medicare reassignment Care Compare group NPD
• Alexandra Despina Fontana, NP

  • Family Nurse Practitioner
  • Bay Shore, NY
  • NPI 1700652013
  Medicare reassignment Care Compare group NPD
• Darron Yelling, D.O.

  • Surgery Physician
  • Massapequa, NY
  • NPI 1770744336
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1730946948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MALIBU RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033826",
            "telephone_number": "917-992-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068364",
            "telephone_number": "917-992-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 E Main St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723105",
            "country_code": "US",
            "telephone_number": "917-992-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY SHORE MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "YELLING",
        "authorized_official_first_name": "DARRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-992-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Batista
• Aleksandra Bator
• Maria Valeria Bautista Rojas, MD
• Bay Shore Brightwaters Rescue Ambulance Inc.
• Bay Shore Family Medicine Associates, P.C.
• Bay Shore Medical Services, P.C.
• Bay Shore OB GYN Group PC
• Bay Shore Physical Medicine &Rehabilitation
• Bay Shore Physical Therapy
• Bay Shore Ufsd

• General Practice Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.