SOUTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
NPI 1720824840
Physician Assistant in Bay Shore, NY

Active since July 08, 2024
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000(631) 968-3315 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Shore Faculty Medical Affiliates, University Faculty Practice Co NPPES

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

SOUTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO (NPI 1720824840) is a healthcare organization registered as a physician assistant in Bay Shore, New York and active in the NPI registry since July 2024. The organization lists Victoria A Gangale, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1720824840
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSOUTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3000 · Fax (631) 968-3315
Fax(631) 968-3315
Organization SubpartNo
Authorized OfficialVictoria A GangalePhysician Assistant · (631) 968-3000
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
NPI 1720824840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 E MAIN ST, Bay Shore, NY 11706

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories Vivo Health Pharmacy At South Shore carries, from the Medicare DMEPOS supplier directory.

Vivo Health Pharmacy At South Shore

DMEPOS supplier · Bay Shore, NYOperated by South Shore University Hospital

Does not accept Medicare assignment

Vivo Health Pharmacy At South Shore has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)34357988
Medicare Participant SinceOctober 31, 2017
Supplier Location301 E Main StBay Shore, NY 11706
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706

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 Faculty Medical Affiliates, University Faculty Practice Co's NPI number?

The NPI number for South Shore Faculty Medical Affiliates, University Faculty Practice Co is 1720824840. It was assigned to this organization in the NPPES registry on July 8, 2024.

Where is South Shore Faculty Medical Affiliates, University Faculty Practice Co located?

South Shore Faculty Medical Affiliates, University Faculty Practice Co is located at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is South Shore Faculty Medical Affiliates, University Faculty Practice Co's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does South Shore Faculty Medical Affiliates, University Faculty Practice Co accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Vivo Health Pharmacy At South Shore does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does South Shore Faculty Medical Affiliates, University Faculty Practice Co accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list South Shore Faculty Medical Affiliates, University Faculty Practice Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Shore Faculty Medical Affiliates, University Faculty Practice Co was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.