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SHOREHAM MEDICAL SERVICES P.C. NPI 1164691879


NPI Information

NPI: 1164691879
Provider Name: SHOREHAM MEDICAL SERVICES P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
45 ROUTE 25A
SUITE C
SHOREHAM, NY
ZIP 11786
Phone: (631) 849-6116
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SHOREHAM MEDICAL SERVICES P.C. is an internal medicine in Shoreham, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHOREHAM MEDICAL SERVICES P.C. NPI is 1164691879. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

45 ROUTE 25A
SUITE C
SHOREHAM, NY
ZIP 11786-389
Phone: (631) 849-6116
Fax: (631) 744-1627

The provider's authorized official is Eric Hoffmann .
The authorized official title is Ceo and has the following contact phone number (631) 849-6116.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 2/29/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease146883NEW YORKNo
2207R00000XInternal Medicine153867NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A62556MEDICARE UPINNEW YORK
2W1L521MEDICARE PINNEW YORK
3B14265MEDICARE UPINNEW YORK
4B19535MEDICARE 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: 4/28/2024

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