SHORE MEDICAL PRACTICE PC
NPI 1164664777
Internal Medicine - Nephrology in Plainview, NY
About Shore Medical Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHORE MEDICAL PRACTICE PC (NPI 1164664777) is a healthcare organization registered as a nephrology in Plainview, New York and active in the NPI registry since March 2009. The organization lists Neel Mann, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shore Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shore Medical Practice PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shore Medical Practice PC's NPI number?
The NPI number for Shore Medical Practice PC is 1164664777. It was assigned to this organization in the NPPES registry on March 27, 2009.
Where is Shore Medical Practice PC located?
Shore Medical Practice PC is located at 7 Evelyn Rd, Plainview, NY 11803. The listed phone number is (516) 439-0655.
What is Shore Medical Practice PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Shore Medical Practice PC enrolled in Medicare?
Yes. Shore Medical Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shore Medical Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Shore Medical Practice PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shore Medical Practice PC was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Shore Medical Practice Pc · NPI 1164664777
Nephrology organization in Plainview, New York. Organization record, active in the CMS NPPES registry since March 27, 2009.
## Identity
- **NPI:** 1164664777 (Entity type: Organization)
- **Enumerated:** March 27, 2009
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Neel Mann, PHYSICIAN/OWNER
## Practice location
- **Address:** 7 EVELYN RD, Plainview, NY 11803-4804
- **Phone:** (516) 439-0655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2009
- **Other identifiers:** Medicare UPIN H01900 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1164664777) · Data from the CMS NPPES public registry.