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SOUTH OCEAN CARE LLC
NPI 1205811049
Clinic/Center in Freeport, NY

Active since December 14, 2005
101 S BERGEN PL, FREEPORT, NY 11520(516) 623-3600(516) 623-9191 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Ocean Care Llc NPPES

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

SOUTH OCEAN CARE LLC (NPI 1205811049) is a healthcare organization registered as a clinic/center in Freeport, New York and active in the NPI registry since December 2005. The organization lists Mark A Raifman, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1205811049
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH OCEAN CARE LLC
Location Address101 S BERGEN PLFreeport, NY 11520-3528
Mailing AddressPo Box 624Woodmere, NY 11598-0624 · (516) 623-3600 · Fax (516) 623-9191
Phone(516) 623-3600
Fax(516) 623-9191
Organization SubpartNo
Authorized OfficialMark A RaifmanManaging Member · (516) 623-3600
Enumeration DateDecember 14, 2005
Last NPPES UpdateMay 21, 2008
✔ NPI 1205811049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 2904201R
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
101 S BERGEN PL, Freeport, NY 11520
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Other Identifiers 2

Medicaid02289783NY
Medicare ID-Type UnspecifiedW39221NY

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALPANA BALASUBRAMANIAN PHYSICAL THERAPIST
Physical Therapist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
IRIS LAZO DH
Dental Hygienist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
DR. MARK A RAIFMAN MD
Pediatrics
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 442-7179
MR. PROLAY KUMER PAUL DDS
Dentist (General Practice)
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 236-0000
DR. OLGA Y CELLERI-PINCUS DDS
Dentist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
RAY PATRICK DAVID PT
Physical Therapist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
DANUZA VILELA
Dental Hygienist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
DINA FARA
Dental Hygienist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 546-9077

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 Ocean Care LLC's NPI number?

The NPI number for South Ocean Care LLC is 1205811049. It was assigned to this organization in the NPPES registry on December 14, 2005.

Where is South Ocean Care LLC located?

South Ocean Care LLC is located at 101 S Bergen Pl, Freeport, NY 11520. The listed phone number is (516) 623-3600.

What is South Ocean Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for South Ocean Care LLC was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.