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SYOSSET FAMILY MEDICINE PC
NPI 1700578754
Family Medicine in Syosset, NY

Active since May 25, 2023CLIA 33D2297243 · Waiver
6500 JERICHO TPKE STE LE, SYOSSET, NY 11791(845) 593-2236(845) 593-2237 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Syosset Family Medicine Pc NPPES

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

SYOSSET FAMILY MEDICINE PC (NPI 1700578754) is a healthcare organization registered as a family medicine in Syosset, New York and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Shen-han Lin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700578754
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSYOSSET FAMILY MEDICINE PC
Location Address6500 JERICHO TPKE STE LESyosset, NY 11791-4489
Mailing Address6500 Jericho Tpke Ste LeSyosset, NY 11791-4489 · (845) 593-2236 · Fax (845) 593-2237
Phone(845) 593-2236
Fax(845) 593-2237
Organization SubpartNo
Authorized OfficialShen-han LinCeo · (516) 509-8499
Enumeration DateMay 25, 2023
NPPES CertifiedMay 25, 2023
✔ NPI 1700578754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6500 JERICHO TPKE STE LE, Syosset, NY 11791
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2297243

Syosset Family Medicine PC · Syosset, NY
Active · expires Jan 11, 2028
CLIA Number33D2297243
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorDr. Shen Han Lin
Laboratory Phone(845) 593-2236
Laboratory LocationSyosset Family Medicine PC6500 Jericho Turnpike, Le, Syosset, NY 11791
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Syosset Family Medicine PC's NPI number?

The NPI number for Syosset Family Medicine PC is 1700578754. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is Syosset Family Medicine PC located?

Syosset Family Medicine PC is located at 6500 Jericho Tpke Ste Le, Syosset, NY 11791. The listed phone number is (845) 593-2236.

What is Syosset Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Syosset Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2297243) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Syosset Family Medicine PC was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.