SOUTHSHORE MEDICAL PRACTICE MANAGEMENT, INC
NPI 1649575242
Contractor in Bay Shore, NY

Active since January 13, 2011
56 W MAIN ST STE 203, BAY SHORE, NY 11706(631) 604-4020 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southshore Medical Practice Management, Inc NPPES

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

SOUTHSHORE MEDICAL PRACTICE MANAGEMENT, INC (NPI 1649575242) is a healthcare organization registered as a contractor in Bay Shore, New York and active in the NPI registry since January 2011. The organization lists Patricia Pacaud Brezault, Administrator, as its authorized official.

NPPES Registry Identity

NPI1649575242
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameSOUTHSHORE MEDICAL PRACTICE MANAGEMENT, INC
Location Address56 W MAIN ST STE 203Bay Shore, NY 11706-8327
Mailing Address56 W Main St Ste 203Bay Shore, NY 11706-8327 · (631) 604-4020
Organization SubpartNo
Authorized OfficialPatricia Pacaud BrezaultAdministrator · (631) 604-4020
Enumeration DateJanuary 13, 2011
Last NPPES UpdateJanuary 24, 2011
NPI 1649575242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
56 W MAIN ST STE 203, 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 MULTIPLE SINGLE 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 Southshore Medical Practice Management, Inc's NPI number?

The NPI number for Southshore Medical Practice Management, Inc is 1649575242. It was assigned to this organization in the NPPES registry on January 13, 2011.

Where is Southshore Medical Practice Management, Inc located?

Southshore Medical Practice Management, Inc is located at 56 W Main St Ste 203, Bay Shore, NY 11706. The listed phone number is (631) 604-4020.

What is Southshore Medical Practice Management, Inc's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Southshore Medical Practice Management, Inc was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.