SOUTH BAY MEDICAL CARE P.C.
NPI 1366569352
Emergency Medicine in Center Moriches, NY
About South Bay Medical Care P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BAY MEDICAL CARE P.C. (NPI 1366569352) is a healthcare organization registered as an emergency medicine in Center Moriches, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists David T Goldman, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
South Bay Medical Care P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to South Bay Medical Care P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0945992
South Bay Medical Care PC · Center Moriches, NYFrequently 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 Bay Medical Care P.C.'s NPI number?
The NPI number for South Bay Medical Care P.C. is 1366569352. It was assigned to this organization in the NPPES registry on March 23, 2007.
Where is South Bay Medical Care P.C. located?
South Bay Medical Care P.C. is located at 625 Montauk Hwy, Center Moriches, NY 11934. The listed phone number is (631) 878-7134.
What is South Bay Medical Care P.C.'s specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is South Bay Medical Care P.C. enrolled in Medicare?
Yes. South Bay Medical Care P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Bay Medical Care P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to South Bay Medical Care P.C.. 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Bay Medical Care P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0945992) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Bay Medical Care P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# South Bay Medical Care P.c. · NPI 1366569352
Emergency Medicine organization in Center Moriches, New York. Organization record, active in the CMS NPPES registry since March 23, 2007.
## Identity
- **NPI:** 1366569352 (Entity type: Organization)
- **Enumerated:** March 23, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** David Goldman, DIRECTOR
## Practice location
- **Address:** 625 MONTAUK HWY, Center Moriches, NY 11934
- **Phone:** (631) 878-7134 · **Fax:** (631) 878-5118
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366569352) · Data from the CMS NPPES public registry.