South Shore Osteopathic Medicine P.C.
NPI 1063768174 · Primary Care Clinic/Center · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Shore Osteopathic Medicine P.C. is a Primary Care Clinic/Center organization in Brooklyn, NY (NPI 1063768174).
Provider details
- NPI number
- 1063768174
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Yuryev, President(718) 444-7774
- License
- 254873 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-26
- Last updated
- 2019-10-04
Frequently asked questions
- What is South Shore Osteopathic Medicine P.C.'s NPI number?
- South Shore Osteopathic Medicine P.C.'s National Provider Identifier (NPI) is 1063768174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Osteopathic Medicine P.C.?
- South Shore Osteopathic Medicine P.C. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Shore Osteopathic Medicine P.C. located?
- South Shore Osteopathic Medicine P.C.'s practice location on file with NPPES is 2409 Ocean Ave Unit 1f, Brooklyn, NY 11229-3576.
- What is South Shore Osteopathic Medicine P.C.'s phone number?
- The practice phone number listed in the NPPES registry for South Shore Osteopathic Medicine P.C. is (718) 444-7774.
- Does South Shore Osteopathic Medicine P.C. accept Medicare?
- South Shore Osteopathic Medicine P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Shore Osteopathic Medicine P.C.?
- The authorized official listed on South Shore Osteopathic Medicine P.C.'s NPPES record is Michael Yuryev, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Osteopathic Medicine P.C.'s NPI active?
- Yes — South Shore Osteopathic Medicine P.C.'s NPI (1063768174) is active in the NPPES registry as of the last update on 2019-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.