South Shore Comprehensive Medical Group, PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

167384 Issued in NY

Legal business name

SOUTH SHORE COMPREHENSIVE MEDICAL GROUP, PC

Practice address

500 W Main St
Suite 110
Babylon, NY 11702-3027

Phone

(631) 669-4500

NPI assigned

Aug 22, 2005

Last updated

Aug 22, 2020By 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. Pedro H Calves, M.D.NPI 1861484115

Title

Director of Operations

Phone

(631) 669-4500

Specialties & licenses 1

Addresses

Practitioners 5

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.

• Pedro H Calves, M.D.

  • Pulmonary Disease Physician
  • Babylon, NY
  • NPI 1861484115
  NPD (past) Authorized official
• Barry L Gruber, M.D.

  • Rheumatology Physician
  • Babylon, NY
  • NPI 1710912431
  NPD (past)
• Jane Ann Koop, ANP-C

  • Adult Health Nurse Practitioner
  • Babylon, NY
  • NPI 1528025434
  NPD (past)
• Jacqueline M Spencer, DO

  • Family Medicine Physician
  • North Babylon, NY
  • NPI 1306838669
  NPD (past)
• Mitchell I Weinstein, D.O.

  • Gastroenterology Physician
  • West Islip, NY
  • NPI 1942292206
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740272087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "address_2": "2ND FLOOR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "SUITE 110",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023027",
            "telephone_number": "631-669-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE COMPREHENSIVE MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALVES",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "631-669-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "167384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Body Physical Therapy PC
• South Lake Chiropractic P.C.
• South Shore Acupuncture and Massage Therapy
• South Shore Cardiologists, PC
• South Shore Center for Speech, Language and Swallowing Disorders, LLP
• South Shore Speech Language and Swallowing Disorders PLLC
• Dena Spanos
• Jeffrey A. Sparks, RN
• Kevin Spears, L.AC
• Jennafer Lauren Spedaleri, MS ED.

• Pulmonary Disease Physician in Babylon, NY
• Providers in Babylon, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.