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NY SHORELINE MEDICAL SERVICES PLLC
NPI 1992661359
Physician Assistant - Surgical in Bohemia, NY

Active since December 30, 2025
4875 SUNRISE HWY STE 302, BOHEMIA, NY 11716(917) 575-8907 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ny Shoreline Medical Services Pllc NPPES

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

NY SHORELINE MEDICAL SERVICES PLLC (NPI 1992661359) is a healthcare organization registered as a surgical in Bohemia, New York and active in the NPI registry since December 2025. The organization lists Gregory Brevetti, Owner, as its authorized official.

NPPES Registry Identity

NPI1992661359
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameNY SHORELINE MEDICAL SERVICES PLLC
Location Address4875 SUNRISE HWY STE 302Bohemia, NY 11716-4630
Mailing Address4875 Sunrise Hwy Ste 302Bohemia, NY 11716-4630 · (631) 942-0745
Phone(917) 575-8907
Organization SubpartNo
Authorized OfficialGregory BrevettiOwner · (917) 575-8907
Enumeration DateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1992661359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
4875 SUNRISE HWY STE 302, Bohemia, NY 11716
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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 5

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

JESSICA A CALDERON PA-C
Physician Assistant
4875 SUNRISE HWY STE 302
BOHEMIA, NY 11716
Suffolk County (631) 343-4184
MRS. MARGARET COOK LMT
Massage Therapist
4875 SUNRISE HWY STE 302
BOHEMIA, NY 11716
Suffolk County (631) 343-4184
MRS. JENNIFER KAYLIN SILVEY PA
Physician Assistant
4875 SUNRISE HWY STE 302
BOHEMIA, NY 11716
Suffolk County (631) 343-4184
NAVJEET JAMMU
Massage Therapist
4875 SUNRISE HWY STE 302
BOHEMIA, NY 11716
Suffolk County (631) 343-4184
DEBRA CRISTINA PADOVANO
Massage Therapist
4875 SUNRISE HWY STE 302
BOHEMIA, NY 11716
Suffolk County (631) 343-4184

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 Ny Shoreline Medical Services PLLC's NPI number?

The NPI number for Ny Shoreline Medical Services PLLC is 1992661359. It was assigned to this organization in the NPPES registry on December 30, 2025.

Where is Ny Shoreline Medical Services PLLC located?

Ny Shoreline Medical Services PLLC is located at 4875 Sunrise Hwy Ste 302, Bohemia, NY 11716. The listed phone number is (917) 575-8907.

What is Ny Shoreline Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Ny Shoreline Medical Services PLLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.