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SOUTH SHORE PULMONARY MEDICINE PC
NPI 1750451001
Internal Medicine - Pulmonary Disease in Lawrence, NY

Active since November 08, 2006
360 CENTRAL AVE, SUITE 113, LAWRENCE, NY 11559(516) 569-6966(516) 569-4026 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Shore Pulmonary Medicine Pc NPPES

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

SOUTH SHORE PULMONARY MEDICINE PC (NPI 1750451001) is a healthcare organization registered as a pulmonary disease in Lawrence, New York and active in the NPI registry since November 2006. The organization lists Nathan Ira Rothman, Partner, as its authorized official.

NPPES Registry Identity

NPI1750451001
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSOUTH SHORE PULMONARY MEDICINE PC
Location Address360 CENTRAL AVE, SUITE 113Lawrence, NY 11559
Mailing Address360 Central Ave, Suite 113Lawrence, NY 11559 · (516) 569-6966 · Fax (516) 569-4026
Phone(516) 569-6966
Fax(516) 569-4026
Organization SubpartNo
Authorized OfficialNathan Ira RothmanPartner · (516) 569-6966
Enumeration DateNovember 8, 2006
Last NPPES UpdateMarch 30, 2015
✔ NPI 1750451001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
360 CENTRAL AVE, Lawrence, NY 11559
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Other Identifiers 2

Medicare ID-Type UnspecifiedW11141Group #
Medicaid00940721NY

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

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 Pulmonary Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to South Shore Pulmonary Medicine PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Joseph Donath, M.D.
Pulmonary Disease
NPI 1255425575
360 CENTRAL AVENUE SUITE 113
Lawrence, NY 11559
(516) 569-6966
✔ PECOS✔ Accepts MedicareSame address
Danil Mishiyev, DO
Internal Medicine
NPI 1578182416
360 CENTRAL AVE STE 113
Lawrence, NY 11559
(516) 569-6966
✔ PECOS✔ Accepts MedicareSame address
Nathan Rothman, MD
Pulmonary Disease
NPI 1285616136
360 CENTRAL AVE STE 113
Lawrence, NY 11559
(516) 569-6966
✔ PECOS✔ Accepts MedicareSame address
Shimshon Wiesel, DO
Pulmonary Disease
NPI 1346629060
360 CENTRAL AVE STE 113
Lawrence, NY 11559
(516) 569-6966
✔ PECOS✔ Accepts MedicareSame address
Pavel Gozenput, M.D.
Critical Care (Intensivists)
NPI 1558599381
1 HEALTHY WAY
Oceanside, NY 11572
(516) 632-3200
✔ PECOS✔ Accepts Medicare4.9 mi
David Rotblat, MD
Internal Medicine
NPI 1427677111
475 SEAVIEW AVE
Staten Island, NY 10305
(718) 226-9000
✔ PECOS✔ Accepts Medicare19 mi

Source: 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 Pulmonary Medicine PC's NPI number?

The NPI number for South Shore Pulmonary Medicine PC is 1750451001. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is South Shore Pulmonary Medicine PC located?

South Shore Pulmonary Medicine PC is located at 360 Central Ave Suite 113, Lawrence, NY 11559. The listed phone number is (516) 569-6966.

What is South Shore Pulmonary Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is South Shore Pulmonary Medicine PC enrolled in Medicare?

Yes. South Shore Pulmonary Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Shore Pulmonary Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to South Shore Pulmonary Medicine PC. 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 Pulmonary Disease (3), Internal Medicine (2) and Critical Care (Intensivists) (1). Of these, 4 practice at this address and 5 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 Pulmonary Medicine PC was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.