SHORE MEDICAL TREATMENT PLLC
NPI 1457016669
Specialist in Jericho, NY

Active since November 02, 2021
350 JERICHO TPKE STE 310, JERICHO, NY 11753(631) 450-3772(212) 561-5530 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Apr 13, 2026, Nov 2, 2021 (3 updates tracked since 2021).

About Shore Medical Treatment Pllc NPPES

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

SHORE MEDICAL TREATMENT PLLC (NPI 1457016669) is a healthcare organization registered as a specialist in Jericho, New York and active in the NPI registry since November 2021. The organization lists Michael Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1457016669
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHORE MEDICAL TREATMENT PLLC
Location Address350 JERICHO TPKE STE 310Jericho, NY 11753-1317
Mailing Address244 Madison Ave # 165New York, NY 10016-2817 · (631) 450-3772 · Fax (212) 561-5530
Fax(212) 561-5530
Organization SubpartNo
Authorized OfficialMichael NguyenOwner · (332) 282-5622
Enumeration DateNovember 2, 2021
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1457016669 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.
350 JERICHO TPKE STE 310, Jericho, NY 11753

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Medical Treatment Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Shore Medical Treatment PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Vascular Surgery
NPI 1962791285
85 E MAIN ST
Bay Shore, NY 11706
(515) 606-7811
✔ PECOS✔ Accepts Medicare16 mi
Thoracic Surgery
NPI 1942431754
130 E 77TH ST FL 4 DEPARTMENT OF CARDIOTHORACIC SURGERY, LENOX HILL HOSPIT
New York, NY 10075
(212) 434-3000
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1033480298
170 WILLIAM ST
New York, NY 10038
(718) 530-3042
✔ PECOS✔ Accepts Medicare25 mi
Vascular Surgery
NPI 1568473700
23 BRIGHTON 11TH ST FL 7
Brooklyn, NY 11235
(917) 920-3006
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1659660785
2 SEARS DR STE 101
Paramus, NJ 07652
(855) 699-2004
✔ PECOS✔ Accepts Medicare30 mi
Diagnostic Radiology
NPI 1558472233
1805 BAYSHORE GARDENS PKWY
Bradenton, FL 34207
(917) 920-3006
✔ PECOS✔ Accepts Medicare1,055 mi
General Surgery
NPI 1811213051
3601 SW 160TH AVE SUITE 250
Miramar, FL 33027
(954) 399-4645
✔ PECOS✔ Accepts Medicare1,094 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 Shore Medical Treatment PLLC's NPI number?

The NPI number for Shore Medical Treatment PLLC is 1457016669. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Shore Medical Treatment PLLC located?

Shore Medical Treatment PLLC is located at 350 Jericho Tpke Ste 310, Jericho, NY 11753. The listed phone number is (631) 450-3772.

What is Shore Medical Treatment PLLC's specialty?

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

Is Shore Medical Treatment PLLC enrolled in Medicare?

Yes. Shore Medical Treatment PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shore Medical Treatment PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Shore Medical Treatment PLLC, in Diagnostic Radiology, General Surgery, Internal Medicine, Nurse Practitioner, Thoracic Surgery and 1 other specialty. 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 Shore Medical Treatment PLLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.