SOUTH SHORE FAMILY MEDICINE,PC
NPI 1932420817
Family Medicine - Adult Medicine in Baldwin, NY

Q: What is South Shore Family Medicine,pc's NPI number?

The NPI number for South Shore Family Medicine,pc is 1932420817. It was assigned to this organization in the NPPES registry on June 15, 2010.

Q: What is South Shore Family Medicine,pc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since June 15, 2010

2280 GRAND AVE, SUITE 208, BALDWIN, NY 11510(516) 623-4800(516) 623-8845 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Shore Family Medicine,pc NPPES

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

SOUTH SHORE FAMILY MEDICINE,PC (NPI 1932420817) is a healthcare organization registered as an adult medicine in Baldwin, New York and active in the NPI registry since June 2010. The organization lists Marie Marino, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1932420817

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameSOUTH SHORE FAMILY MEDICINE,PC

Location Address2280 GRAND AVE, SUITE 208Baldwin, NY 11510-3164

Mailing Address2280 Grand Ave, Suite 208Baldwin, NY 11510-3164 · (516) 623-4800 · Fax (516) 623-8845

Phone(516) 623-4800

Fax(516) 623-8845

Organization SubpartNo

Authorized OfficialMarie MarinoBilling Manager · (516) 623-9675

Enumeration DateJune 15, 2010

✔ NPI 1932420817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2280 GRAND AVE, Baldwin, NY 11510

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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

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.

ROBERT FISCH MD PC

Specialist

2280 GRAND AVE, SUITE 201A
BALDWIN, NY 11510

Nassau County (516) 255-0600

DR. SANJAY GOYAL M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2280 GRAND AVE, SUITE 307
BALDWIN, NY 11510

Nassau County (516) 378-3373

SONYA SHERON VENTOUR MD

Internal Medicine (Gastroenterology)

2280 GRAND AVE, STE 303
BALDWIN, NY 11510

Nassau County (516) 771-4971

DR. SUSAN INA KANE DO

Family Medicine

2280 GRAND AVE, SUITE 208
BALDWIN, NY 11510

Nassau County (516) 623-4800

XIAOYA WANG O.M.D., L.AC

Acupuncturist

2280 GRAND AVE, STE 203
BALDWIN, NY 11510

Nassau County (516) 965-6990

DENISE C PINEAU P.T.

Physical Therapist

2280 GRAND AVE, SUITE 205
BALDWIN, NY 11510

Nassau County (516) 223-5306

BEVERLY S ADLER PH.D.

Psychologist (Clinical)

2280 GRAND AVE, SUITE 312
BALDWIN, NY 11510

Nassau County (516) 378-6676

DR. PETER JOSEPH AJEMIAN MD

Orthopaedic Surgery

2280 GRAND AVE, SUITE 201A
BALDWIN, NY 11510

Nassau County (516) 536-6800

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 Medicine,pc's NPI number?

The NPI number for South Shore Family Medicine,pc is 1932420817. It was assigned to this organization in the NPPES registry on June 15, 2010.

Where is South Shore Family Medicine,pc located?

South Shore Family Medicine,pc is located at 2280 Grand Ave Suite 208, Baldwin, NY 11510. The listed phone number is (516) 623-4800.

What is South Shore Family Medicine,pc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for South Shore Family Medicine,pc was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.