SOUTHSIDE HOSPITAL EMERGENCY DEPARTMENT
NPI 1528025459
Emergency Medicine in Bay Shore, NY

Q: What is Southside Hospital Emergency Department's specialty?

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

Active since April 26, 2006

301 E MAIN ST, BAY SHORE, NY 11706(631) 675-4149 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Southside Hospital Emergency Department NPPES

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

SOUTHSIDE HOSPITAL EMERGENCY DEPARTMENT (NPI 1528025459) is a healthcare organization registered as an emergency medicine in Bay Shore, New York and active in the NPI registry since April 2006. The organization lists Winifred Mack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1528025459

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameSOUTHSIDE HOSPITAL EMERGENCY DEPARTMENT

Location Address301 E MAIN STBay Shore, NY 11706-8408

Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 675-4149

Phone(631) 675-4149

Organization SubpartYesParent: Southside Hospital

Authorized OfficialWinifred MackCfo · (631) 968-9000

Enumeration DateApril 26, 2006

Last NPPES UpdateOctober 9, 2007

✔ NPI 1528025459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysician AssistantTaxonomy 363A00000X

301 E MAIN ST, Bay Shore, NY 11706

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Other Identifiers 2

Medicaid01752496NY

Medicare PINW75861NY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. EHAB SABRY HANNA M.D.

Hospitalist