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SOUTH SHORE MEDICAL SERVICES PLLC
NPI 1164087375
Physician Assistant - Medical in West Islip, NY

Active since May 02, 2019
1175 MONTAUK KWY, SUITE 6, WEST ISLIP, NY 11795(631) 422-5371(631) 893-8012 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Shore Medical Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE MEDICAL SERVICES PLLC (NPI 1164087375) is a healthcare organization registered as a medical in West Islip, New York and active in the NPI registry since May 2019. The organization lists Salvatore Palumbo, Owner, as its authorized official.

NPPES Registry Identity

NPI1164087375
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameSOUTH SHORE MEDICAL SERVICES PLLC
Location Address1175 MONTAUK KWY, SUITE 6West Islip, NY 11795
Mailing Address1175 Montauk Kwy, Suite 6West Islip, NY 11795 · (631) 422-5371 · Fax (631) 893-8012
Phone(631) 422-5371
Fax(631) 893-8012
Organization SubpartNo
Authorized OfficialSalvatore PalumboOwner · (631) 422-5371
Enumeration DateMay 2, 2019
✔ NPI 1164087375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1175 MONTAUK KWY, West Islip, NY 11795
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Shore Medical Services PLLC's NPI number?

The NPI number for South Shore Medical Services PLLC is 1164087375. It was assigned to this organization in the NPPES registry on May 2, 2019.

Where is South Shore Medical Services PLLC located?

South Shore Medical Services PLLC is located at 1175 Montauk Kwy Suite 6, West Islip, NY 11795. The listed phone number is (631) 422-5371.

What is South Shore Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for South Shore Medical Services PLLC was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.