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SOUTH SHORE NEUROLOGIC ASSOCIATES, PC
NPI 1700183373
Durable Medical Equipment & Medical Supplies in Patchogue, NY

Active since February 17, 2011
77 MEDFORD AVENUE, ROUTE 112, PATCHOGUE, NY 11772(631) 758-1910(631) 730-3467 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Shore Neurologic Associates, Pc NPPES

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

SOUTH SHORE NEUROLOGIC ASSOCIATES, PC (NPI 1700183373) is a healthcare organization registered as a durable medical equipment & medical supplies in Patchogue, New York and active in the NPI registry since February 2011. The organization lists Angela Deritis, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1700183373
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTH SHORE NEUROLOGIC ASSOCIATES, PC
Location Address77 MEDFORD AVENUE, ROUTE 112Patchogue, NY 11772
Mailing Address77 Medford Avenue, Route 112Patchogue, NY 11772 · (631) 758-1910 · Fax (631) 730-3467
Phone(631) 758-1910
Fax(631) 730-3467
Organization SubpartYesParent: South Shore Neurologic Associates Pc
Authorized OfficialAngela DeritisBilling Manager · (631) 758-4444
Enumeration DateFebruary 17, 2011
Last NPPES UpdateMay 4, 2011
✔ NPI 1700183373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in NY · 1313140002
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
77 MEDFORD AVENUE, Patchogue, NY 11772
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Other Identifiers 1

Medicare OSCAR/certification131314002NY

Other Providers at the Same Location NPPES

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

SUFFOLK COUNTY NEUROPSYCHOLOGICAL SERVICES, PLLC
Psychologist (Cognitive & Behavioral)
77 MEDFORD AVENUE, SUITE D
PATCHOGUE, NY 11772
Suffolk County (631) 366-3369

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 Neurologic Associates, PC's NPI number?

The NPI number for South Shore Neurologic Associates, PC is 1700183373. It was assigned to this organization in the NPPES registry on February 17, 2011.

Where is South Shore Neurologic Associates, PC located?

South Shore Neurologic Associates, PC is located at 77 Medford Avenue Route 112, Patchogue, NY 11772. The listed phone number is (631) 758-1910.

What is South Shore Neurologic Associates, PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for South Shore Neurologic Associates, PC was last updated on May 4, 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.