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

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: July 26, 2026.

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
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

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

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.

Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Radiology (Diagnostic Radiology)
301 E MAIN ST
BAY SHORE, NY 11706
Orthopaedic Surgery
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Practitioner
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Pathology (Anatomic Pathology & Clinical Pathology)
301 E MAIN ST
BAY SHORE, NY 11706
Pathology (Anatomic Pathology & Clinical Pathology)
301 E MAIN ST
BAY SHORE, NY 11706

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 Southside Hospital Emergency Department's NPI number?

The NPI number for Southside Hospital Emergency Department is 1528025459. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Southside Hospital Emergency Department located?

Southside Hospital Emergency Department is located at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 675-4149.

What is Southside Hospital Emergency Department's specialty?

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

What insurance does Southside Hospital Emergency Department accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southside Hospital Emergency Department as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southside Hospital Emergency Department was last updated on October 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.