SOUTH SHORE INFECTIOUS DISEASES , PC
NPI 1548287360
Internal Medicine - Infectious Disease in Bay Shore, NY

Active since July 16, 2006
40 E MAIN ST, BAY SHORE, NY 11706(631) 376-6075(631) 376-6091 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2022, Jul 26, 2017 (2 updates tracked since 2017).

About South Shore Infectious Diseases , Pc NPPES

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

SOUTH SHORE INFECTIOUS DISEASES , PC (NPI 1548287360) is a healthcare organization registered as an infectious disease in Bay Shore, New York and active in the NPI registry since July 2006. The organization lists Carolina Blandon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548287360
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameSOUTH SHORE INFECTIOUS DISEASES , PC
Location Address40 E MAIN STBay Shore, NY 11706-8301
Mailing Address40 East Main StreetBay Shore, NY 11706 · (631) 376-6075 · Fax (631) 376-6091
Fax(631) 376-6091
Organization SubpartNo
Authorized OfficialCarolina BlandonOffice Manager · (631) 376-6075
Enumeration DateJuly 16, 2006
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1548287360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedSpecialistTaxonomy 174400000X · License 186715 (NY)
40 E MAIN ST, 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 SINGLE 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)

South Shore Infectious Diseases , Pc 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 South Shore Infectious Diseases , PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Infectious Disease
NPI 1164680088
40 E MAIN ST
Bay Shore, NY 11706
(631) 376-6075
✔ PECOSSame address
Infectious Disease
NPI 1477634350
40 E MAIN ST
Bay Shore, NY 11706
(631) 376-6075
✔ PECOSSame address
Infectious Disease
NPI 1730496449
40 E MAIN ST
Bay Shore, NY 11706
(631) 376-6075
✔ PECOSSame address
Infectious Disease
NPI 1972772176
40 E MAIN ST
Bay Shore, NY 11706
(631) 376-6075
✔ PECOSSame address
Infectious Disease
NPI 1063778355
40 E MAIN ST
Bay Shore, NY 11706
(631) 376-6075
✔ PECOSSame address
Infectious Disease
NPI 1679136170
40 E MAIN ST
Bay Shore, NY 11706
(631) 376-6075
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1679453658
40 E MAIN ST
Bay Shore, NY 11706
(631) 376-6075
✔ PECOS0.2 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 South Shore Infectious Diseases , PC's NPI number?

The NPI number for South Shore Infectious Diseases , PC is 1548287360. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is South Shore Infectious Diseases , PC located?

South Shore Infectious Diseases , PC is located at 40 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 376-6075.

What is South Shore Infectious Diseases , PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is South Shore Infectious Diseases , PC enrolled in Medicare?

Yes. South Shore Infectious Diseases , PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Shore Infectious Diseases , PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to South Shore Infectious Diseases , PC. 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. The largest specialties are Infectious Disease (6) and Nurse Practitioner (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Shore Infectious Diseases , PC was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.