SOUTHSIDE HOSPITAL FACULTY PRACTICE
NPI 1619934544
Internal Medicine in Bay Shore, NY

Q: What is Southside Hospital Faculty Practice's NPI number?

The NPI number for Southside Hospital Faculty Practice is 1619934544. It was assigned to this organization in the NPPES registry on April 26, 2006.

Q: What is Southside Hospital Faculty Practice's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Southside Hospital Faculty Practice NPPES

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

SOUTHSIDE HOSPITAL FACULTY PRACTICE (NPI 1619934544) is a healthcare organization registered as an internal 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

NPI1619934544

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSOUTHSIDE HOSPITAL FACULTY PRACTICE

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 UpdateAugust 13, 2008

✔ NPI 1619934544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

301 E MAIN ST, Bay Shore, NY 11706

Open in Google Maps ↗

Other Identifiers 2

Medicaid02167655NY

Medicare PINW79241NY

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