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NORTH SHORE MEDICAL GROUP PLLC
NPI 1487252581
Family Medicine - Adult Medicine in Syracuse, NY

Active since October 12, 2020
311 SKYVIEW TER, SYRACUSE, NY 13219(315) 935-1154(952) 209-2012 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2022, Oct 12, 2020 (2 updates tracked since 2020).

About North Shore Medical Group Pllc NPPES

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

NORTH SHORE MEDICAL GROUP PLLC (NPI 1487252581) is a healthcare organization registered as an adult medicine in Syracuse, New York and active in the NPI registry since October 2020. The organization lists Joshu Coppola, Pa, as its authorized official.

NPPES Registry Identity

NPI1487252581
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameNORTH SHORE MEDICAL GROUP PLLC
Location Address311 SKYVIEW TERSyracuse, NY 13219-2835
Mailing Address311 Skyview TerSyracuse, NY 13219-2835 · (315) 935-1154 · Fax (952) 209-2012
Phone(315) 935-1154
Fax(952) 209-2012
Organization SubpartNo
Authorized OfficialJoshu CoppolaPa · (315) 289-6300
Enumeration DateOctober 12, 2020
Last NPPES UpdateMay 16, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1487252581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
311 SKYVIEW TER, Syracuse, NY 13219
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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

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 North Shore Medical Group PLLC's NPI number?

The NPI number for North Shore Medical Group PLLC is 1487252581. It was assigned to this organization in the NPPES registry on October 12, 2020.

Where is North Shore Medical Group PLLC located?

North Shore Medical Group PLLC is located at 311 Skyview Ter, Syracuse, NY 13219. The listed phone number is (315) 935-1154.

What is North Shore Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for North Shore Medical Group PLLC was last updated on May 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.