SOUTH SHORE FAMILY MEDICAL ASSOCIATES, P.C.
NPI 1720122716
Family Medicine in Inwood, NY
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 lists Allan Scott Detweiler, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Shore Family Medical Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to South Shore Family Medical Associates, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is South Shore Family Medical Associates, P.C. enrolled in Medicare?
Yes. South Shore Family Medical Associates, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Shore Family Medical Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 4 Medicare specialties reassign their Medicare billing to South Shore Family Medical Associates, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (17), Family Practice (4) and Dermatology (2). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 6 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.
# South Shore Family Medical Associates, P.c. · NPI 1720122716
Family Medicine organization in Inwood, New York. Organization record, active in the CMS NPPES registry since February 16, 2007.
## Identity
- **NPI:** 1720122716 (Entity type: Organization)
- **Enumerated:** February 16, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Allan Detweiler, PRESIDENT
## Practice location
- **Address:** 271 DOUGHTY BLVD, Inwood, NY 11096-2135
- **Phone:** (516) 371-6884 · **Fax:** (516) 371-6083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Family Practice (4), Dermatology (2); 2 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1720122716/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 01824973 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720122716) · Data from the CMS NPPES public registry.