SHORE MEDICAL PRACTICE PC NPI 1164664777

NPI Information

  • NPI: 1164664777
  • Provider Name: SHORE MEDICAL PRACTICE PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 7 EVELYN RD
    PLAINVIEW, NY
    ZIP 11803
  • Phone: (516) 439-0655

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NPI Details

SHORE MEDICAL PRACTICE PC is a nephrology internal medicine in Plainview, NY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SHORE MEDICAL PRACTICE PC NPI is 1164664777. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7 EVELYN RD
PLAINVIEW, NY
ZIP 11803-804
Phone: (516) 439-0655

The provider's authorized official is Neel Mann .
The authorized official title is Physician/owner and has the following contact phone number (516) 439-0655.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 3/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology241885NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H01900MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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