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SOUTH SHORE FAMILY MEDICAL ASSOCIATES, P.C.
NPI 1720122716
Family Medicine in Inwood, NY

Active since February 16, 2007CLIA 33D0960878 · Waiver
271 DOUGHTY BLVD, INWOOD, NY 11096(516) 371-6884(516) 371-6083 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Shore Family Medical Associates, P.c. NPPES

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

SOUTH SHORE FAMILY MEDICAL ASSOCIATES, P.C. (NPI 1720122716) is a healthcare organization registered as a family medicine in Inwood, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Allan Scott Detweiler, President, as its authorized official.

NPPES Registry Identity

NPI1720122716
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH SHORE FAMILY MEDICAL ASSOCIATES, P.C.
Location Address271 DOUGHTY BLVDInwood, NY 11096-2135
Mailing Address271 Doughty BlvdInwood, NY 11096-2135 · (516) 371-6884 · Fax (516) 371-6083
Phone(516) 371-6884
Fax(516) 371-6083
Organization SubpartNo
Authorized OfficialAllan Scott DetweilerPresident · (516) 371-6884
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720122716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 205232
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.
271 DOUGHTY BLVD, Inwood, NY 11096
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Other Identifiers 1

Medicaid01824973NY

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 33D0960878

South Shore Family Medical Assoc PC · Inwood, NY
Active · expires May 23, 2027
CLIA Number33D0960878
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorDr. Allan S. Detweiler
Laboratory Phone(516) 371-6884
Laboratory LocationSouth Shore Family Medical Assoc PC271 Doughty Boulevard, Inwood, NY 11096
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

GENERAL SURGERY CONSULTANT PC
Surgery
271 DOUGHTY BLVD
INWOOD, NY 11096
Nassau County (516) 253-6811
MS. DONNA MARIE MURPHY PA-C
Physician Assistant (Medical)
271 DOUGHTY BLVD
INWOOD, NY 11096
Nassau County (516) 371-6884
ALAN TODD GLASS M.D.
Dermatology (Procedural Dermatology)
271 DOUGHTY BLVD
INWOOD, NY 11096
Nassau County (516) 239-4244
GLASS AND POMERANTZ, MDS, PLLC
Dermatology (Procedural Dermatology)
271 DOUGHTY BLVD
INWOOD, NY 11096
Nassau County (516) 239-4244
RAYVEN MASON FNP
Nurse Practitioner (Family)
271 DOUGHTY BLVD
INWOOD, NY 11096
Nassau County (516) 371-6884
MRS. REBECCA LISA SKLAR RPA-C
Physician Assistant (Medical)
271 DOUGHTY BLVD
INWOOD, NY 11096
Nassau County (516) 239-4244
ALAN T. GLASS, MD, DERMATOLOGY LLC
Dermatology
271 DOUGHTY BLVD
INWOOD, NY 11096
Nassau County (516) 239-4244
BEATRIZ WOODWORTH PA-C
Physician Assistant
271 DOUGHTY BLVD
INWOOD, NY 11096
Nassau County (516) 371-6884

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 Family Medical Associates, P.C.'s NPI number?

The NPI number for South Shore Family Medical Associates, P.C. is 1720122716. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is South Shore Family Medical Associates, P.C. located?

South Shore Family Medical Associates, P.C. is located at 271 Doughty Blvd, Inwood, NY 11096. The listed phone number is (516) 371-6884.

What is South Shore Family Medical Associates, P.C.'s specialty?

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

Does South Shore Family Medical Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0960878) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Shore Family Medical Associates, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.