Ny Shoreline Medical Services PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

NY SHORELINE MEDICAL SERVICES PLLC

Practice address

4875 Sunrise Hwy Ste 302
Bohemia, NY 11716-4630

Phone

(917) 575-8907

NPI assigned

Dec 30, 2025

Organization subpart

No

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

Authorized official

Name

Gregory Brevetti, MD

Title

Owner

Phone

(917) 575-8907

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Szpilka

  • Surgical Physician Assistant
  • Bay Shore, NY
  • NPI 1932645132
  NPD (past)

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1992661359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 SUNRISE HWY STE 302",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164630",
            "telephone_number": "631-942-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 SUNRISE HWY STE 302",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164630",
            "telephone_number": "917-575-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY SHORELINE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "BREVETTI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-575-8907",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel D Nodiff, LMHC
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• Northeast Ambulette Inc
• Carolyn Jean Nuccio
• Ny Physical Therapy & Wellness Bohemia, PLLC
• Nysarc Inc Suffolk Chapter
• Nysarc Inc Suffolk Chapter
• Nysarc Inc Suffolk Chapter
• Nysarc Inc Suffolk Chapter
• Nysarc Inc Suffolk Chapter

• Surgical Physician Assistant in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.