North Shore Medical Care, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

164326 Issued in NY

Legal business name

NORTH SHORE MEDICAL CARE, P.C.

Practice address

399 Fort Salonga Rd
Northport, NY 11768-3045

Phone

(631) 757-5400

Fax

(631) 757-4178

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert E. Scully, MD

Title

Director

Phone

(631) 757-5400

Specialties & licenses 1

Addresses

Other names 1

• Medicenter Northport Doing business as

Practitioners 1

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

• Jacqueline P D Pape, FNP

  • Family Nurse Practitioner
  • Stony Brook, NY
  • NPI 1114374709
  NPD

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1992731426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683045",
            "telephone_number": "631-757-5400",
            "fax_number": "631-757-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683045",
            "telephone_number": "631-757-5400",
            "fax_number": "631-757-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-757-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "164326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicenter Northport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorit Netzer, LCAT
• New York Health Psychology, PC
• Francis J Nichols, LCSW
• Robert S Nissan, M.D.
• Kevin Joseph Nissen, PH.D.
• North Shore Wellness
• Northport Chemists Inc
• Northport Family Medicine P.C
• Northport Optical Center Inc.
• Northport Physical Therapy P C

• Family Medicine Physician in Northport, NY
• Providers in Northport, 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 Nov 18, 2013; 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.