SOUTH SHORE MEDICAL SERVICES PLLC (NPI# 1164087375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164087375 |
Entity Type | Organization |
Organization Name | SOUTH SHORE MEDICAL SERVICES PLLC |
Practice Address |
1175 Montauk Kwy Suite 6 West Islip NY 11795 |
Practice Telephone | 6314225371 |
Practice Fax Number | 6318938012 |
Mailing Telephone | 6314225371 |
Mailing Fax Number | 6318938012 |
Enumeration Date | 2019-05-02 |
Last Update Date | 2019-05-02 |
Authorized Official Name | SALVATORE PALUMBO (OWNER) |
Authorized Official Telephone | 6314225371 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1175 MONTAUK KWY SUITE 6 |
City | WEST ISLIP |
State | NY |
Zip Code | 11795 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
1316253750 | Gina Marie Beltrami | Physician Assistant | 108 Higbie Lane, West Islip, NY 11795 | 2010-08-23 |
Find all providers in zip 11795 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669820981 | Shaina Joseph | Physician Assistant | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2016-05-26 |
1710345897 | Samantha Hellerman | Physician Assistant | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2016-02-04 |
1467839969 | Dana Alexandra Giangrande | Physician Assistant | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2015-05-04 |
1407285646 | Alina Bhatt | Physician Assistant | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2013-11-07 |
1225376494 | Susan Day | Physician Assistant | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2013-01-23 |
1326383282 | Stephanie Marie Bonura | Physician Assistant | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2012-12-04 |
1629356266 | Devin M Bonura | Physician Assistant | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2011-08-01 |
1659664357 | Laura Malissa Katz | Physician Assistant | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2011-05-27 |
1548568330 | Michele Sampino | Physician Assistant | 556 Montauk Hwy, West Islip, NY 11795-4407 | 2011-03-03 |
1629378906 | Robert Passamenti | Physician Assistant | 108 Higbie Ln, West Islip, NY 11795-3923 | 2010-11-02 |
Find all providers in WEST ISLIP |
City | WEST ISLIP |
Zip Code | 11795 |
Please comment or provide details below to improve the information on SOUTH SHORE MEDICAL SERVICES PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.