BAY SHORE MEDICAL SERVICES, P.C.
NPI 1427379932
Psychiatry & Neurology - Addiction Psychiatry in Bay Shore, NY

Active since June 18, 2010
56 W MAIN ST # A, BAY SHORE, NY 11706(631) 665-2288 Get Directions Write a Review

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

About Bay Shore Medical Services, P.c. NPPES

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

BAY SHORE MEDICAL SERVICES, P.C. (NPI 1427379932) is a healthcare organization registered as an addiction psychiatry in Bay Shore, New York and active in the NPI registry since June 2010. The organization lists Syed Nisar Ahmad, President, as its authorized official.

NPPES Registry Identity

NPI1427379932
Entity TypeOrganization
Primary Taxonomy2084P0802X
Legal Business NameBAY SHORE MEDICAL SERVICES, P.C.
Location Address56 W MAIN ST # ABay Shore, NY 11706-8327
Mailing Address56 W Main St # ABay Shore, NY 11706-8327 · (631) 665-2288
Organization SubpartNo
Authorized OfficialSyed Nisar AhmadPresident · (631) 665-2288
Enumeration DateJune 18, 2010
✔ NPI 1427379932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in NY · 1462241
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
56 W MAIN ST # A, Bay Shore, NY 11706

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay Shore Medical Services, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110929000599Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bay Shore Medical Services, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1477695930
56 W MAIN ST
Bay Shore, NY 11706
(631) 665-2288
✔ PECOS✔ Accepts MedicareSame address

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 Bay Shore Medical Services, P.C.'s NPI number?

The NPI number for Bay Shore Medical Services, P.C. is 1427379932. It was assigned to this organization in the NPPES registry on June 18, 2010.

Where is Bay Shore Medical Services, P.C. located?

Bay Shore Medical Services, P.C. is located at 56 W Main St # A, Bay Shore, NY 11706. The listed phone number is (631) 665-2288.

What is Bay Shore Medical Services, P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Bay Shore Medical Services, P.C. enrolled in Medicare?

Yes. Bay Shore Medical Services, P.C. is registered in the Medicare PECOS enrollment system.

When is Bay Shore Medical Services, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bay Shore Medical Services, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Bay Shore Medical Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bay Shore Medical Services, P.C. was last updated on June 18, 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.