SOUTH SHORE FAMILY MEDICINE,PC – NPI #1932420817
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

SOUTH SHORE FAMILY MEDICINE,PC is a provider located in BALDWIN, NY. NPPES has assigned the NPI number 1932420817 to SOUTH SHORE FAMILY MEDICINE,PC on June 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH SHORE FAMILY MEDICINE,PC below.

NPI Profile for
SOUTH SHORE FAMILY MEDICINE,PC

NPI Number
1932420817
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH SHORE FAMILY MEDICINE,PC
Primary location
2280 GRAND AVE
SUITE 208
BALDWIN, NY 11510-3164
Phone: (516) 623-4800 Fax: (516) 623-8845
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIE MARINO
BILLING MANAGER
Phone: (516) 623-9675
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.