South Shore Family Medicine,PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SOUTH SHORE FAMILY MEDICINE,PC

Practice address

2280 Grand Ave
Suite 208
Baldwin, NY 11510-3164

Phone

(516) 623-4800

Fax

(516) 623-8845

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Marie Marino

Title

Billing Manager

Phone

(516) 623-9675

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCHHAA

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1932420817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 GRAND AVE",
            "address_2": "SUITE 208",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103164",
            "telephone_number": "516-623-4800",
            "fax_number": "516-623-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 GRAND AVE",
            "address_2": "SUITE 208",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103164",
            "telephone_number": "516-623-4800",
            "fax_number": "516-623-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE FAMILY MEDICINE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-623-9675"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sotack, LMSW
• South Baldwin Facilities Management Corp
• South Nassau Communities Hospital
• South Nassau Communities Hospital
• South Shore Asociation for Independent Living, Inc.
• South Shore Orthodontics, LLC
• Maria J Spinoso
• Gina St. Louis
• Nyeri Steele-Smith
• Stephen I. Zimmerman, PH.D., P.T., P.C.

• Adult Medicine Physician in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Adult Medicine Physician in New York

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