Active NPI
New Shore Medical Health PC
- Internal Medicine Physician
- Saint Albans, NY
National Provider Identifier
1922848316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEW SHORE MEDICAL HEALTH PC
- Practice address
- 13421 Springfield Blvd
Saint Albans, NY 11413-1448 - Phone
- (717) 716-7107
- NPI assigned
- May 31, 2024
- Last updated
- Oct 1, 2024
- 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
- Michelle Morris
- Title
- Owner
- Phone
- (717) 716-7107
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
13421 Springfield Blvd
Saint Albans, NY 11413-1448
Mailing address
354 Hutchinson Ave
Mount Vernon, NY 10553-1810
Phone (717) 716-7107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Springfield Gardens, NY
- NPI 1891189015
-
- Physical Therapist
- Brooklyn, NY
- NPI 1518396423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1922848316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 HUTCHINSON AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531810",
"telephone_number": "717-716-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13421 SPRINGFIELD BLVD",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114131448",
"telephone_number": "717-716-7107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW SHORE MEDICAL HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-716-7107"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.