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SOUTHSHORE MEDICAL ASSOCIATES, LLC
NPI 1316157464
Specialist in Hazlet, NJ

Active since May 23, 2007
1 BETHANY RD, SUITE 35, HAZLET, NJ 07730(732) 888-1203(732) 888-1204 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southshore Medical Associates, Llc NPPES

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

SOUTHSHORE MEDICAL ASSOCIATES, LLC (NPI 1316157464) is a healthcare organization registered as a specialist in Hazlet, New Jersey and active in the NPI registry since May 2007. The organization lists Lin Xu, Maneger, as its authorized official.

NPPES Registry Identity

NPI1316157464
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHSHORE MEDICAL ASSOCIATES, LLC
Location Address1 BETHANY RD, SUITE 35Hazlet, NJ 07730-1663
Mailing Address1 Bethany Rd, Suite 35Hazlet, NJ 07730-1663 · (732) 888-1203 · Fax (732) 888-1204
Phone(732) 888-1203
Fax(732) 888-1204
Organization SubpartNo
Authorized OfficialLin XuManeger · (732) 888-1203
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 28, 2010
✔ NPI 1316157464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 BETHANY RD, Hazlet, NJ 07730
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Other Identifiers 3

Other309505NJ · Aetna Hmo
Medicare PIN072312NJ
Medicare UPINH30607NJ

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southshore Medical Associates, Llc 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 Southshore Medical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lin Xu, M.D.
Internal Medicine
NPI 1386671071
1 BETHANY RD SUITE 35
Hazlet, NJ 07730
(732) 888-1203
✔ PECOS✔ Accepts Medicare0.1 mi

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 Southshore Medical Associates, LLC's NPI number?

The NPI number for Southshore Medical Associates, LLC is 1316157464. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Southshore Medical Associates, LLC located?

Southshore Medical Associates, LLC is located at 1 Bethany Rd Suite 35, Hazlet, NJ 07730. The listed phone number is (732) 888-1203.

What is Southshore Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Southshore Medical Associates, LLC enrolled in Medicare?

Yes. Southshore Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southshore Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Southshore Medical Associates, LLC. 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 Southshore Medical Associates, LLC was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.