SOUTH NASSAU FAMILY MEDICINE PC
NPI 1902891781
Family Medicine in Oceanside, NY

Q: What is South Nassau Family Medicine PC's NPI number?

The NPI number for South Nassau Family Medicine PC is 1902891781. It was assigned to this organization in the NPPES registry on September 16, 2005.

Q: What is South Nassau Family Medicine PC's specialty?

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

Active since September 16, 2005

196 MERRICK RD, OCEANSIDE, NY 11572(516) 255-8400(516) 255-8453 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About South Nassau Family Medicine Pc NPPES

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

SOUTH NASSAU FAMILY MEDICINE PC (NPI 1902891781) is a healthcare organization registered as a family medicine in Oceanside, New York and active in the NPI registry since September 2005. The organization lists Scott Ippolito, Chairman, as its authorized official.

NPPES Registry Identity

NPI1902891781

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTH NASSAU FAMILY MEDICINE PC

Location Address196 MERRICK RDOceanside, NY 11572-1420

Mailing Address1 Healthy Way, Attn: Physician Billing DeptOceanside, NY 11572-1551 · (516) 255-1600 · Fax (516) 255-4672

Phone(516) 255-8400

Fax(516) 255-8453

Organization SubpartNo

Authorized OfficialScott IppolitoChairman · (516) 255-8400

Enumeration DateSeptember 16, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1902891781 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.

196 MERRICK RD, Oceanside, NY 11572

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Other Identifiers 1

Medicaid02156889NY

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

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.

MARY KRISTINE ELLIS M.D.

Family Medicine