South Shore Medical Associates, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH SHORE MEDICAL ASSOCIATES, PC

Practice address

291 E Sunrise Hwy
Lindenhurst, NY 11757-2518

Phone

(631) 884-1188

Fax

(631) 884-1107

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Denise A Weis

Title

Billing Manager

Phone

(631) 884-1188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1891005609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572518",
            "telephone_number": "631-884-1188",
            "fax_number": "631-884-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572518",
            "telephone_number": "631-884-1188",
            "fax_number": "631-884-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "WEIS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-884-1188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne J Smith, MD
• Wayne R. Smith, D.M.D.
• Erica Taylor Soccorso
• Nadia Jean Solomon, DC
• Carl Andrew Soranno, MD FAAP
• Southwest Suffolk Medical PC
• Spahn Wellness Group Inc
• Bailey Spahn, LMT
• Brandon Martin Spahn, PT
• Speak Your Legacy Inc.

• Family Medicine Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.