SOUTH BAY MEDICAL CARE P.C.
NPI 1366569352
Emergency Medicine in Center Moriches, NY

Q: 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.

Q: What is South Bay Medical Care P.C.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since March 23, 2007CLIA 33D0945992 · Waiver

625 MONTAUK HWY, CENTER MORICHES, NY 11934(631) 878-7134(631) 878-5118 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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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

NPI1366569352

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameSOUTH BAY MEDICAL CARE P.C.

Location Address625 MONTAUK HWYCenter Moriches, NY 11934

Mailing Address625 Montauk HwyCenter Moriches, NY 11934 · (631) 878-7134 · Fax (631) 878-5118

Phone(631) 878-7134

Fax(631) 878-5118

Organization SubpartNo

Authorized OfficialDavid T GoldmanDirector · (631) 878-7134

Enumeration DateMarch 23, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1366569352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X

625 MONTAUK HWY, Center Moriches, NY 11934

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, NY

Active · expires Mar 23, 2027

CLIA Number33D0945992

Laboratory TypePhysician Office

Certificate Effective DateMarch 24, 2025

Certificate Expiration DateMarch 23, 2027

Laboratory DirectorDr. David T. Goldman

Laboratory Phone(631) 878-7134

Laboratory LocationSouth Bay Medical Care PC625 Montauk Hwy, Center Moriches, NY 11934

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

PATRICE WESTENBERGER NP

Nurse Practitioner (Primary Care)