North Shore Medical PLLC
NPI 1083966170 · Internal Medicine Physician · Rego Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Shore Medical PLLC is a Internal Medicine Physician organization in Rego Park, NY (NPI 1083966170).
Provider details
- NPI number
- 1083966170
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marvin Base, Director(718) 806-1434
- License
- 187770 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2012-10-12
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Frequently asked questions
- What is North Shore Medical PLLC's NPI number?
- North Shore Medical PLLC's National Provider Identifier (NPI) is 1083966170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Shore Medical PLLC?
- North Shore Medical PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is North Shore Medical PLLC located?
- North Shore Medical PLLC's practice location on file with NPPES is 9308 Queens Blvd # 1b1c, Rego Park, NY 11374-1135.
- What is North Shore Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for North Shore Medical PLLC is (718) 806-1434.
- Does North Shore Medical PLLC accept Medicare?
- North Shore Medical PLLC 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 North Shore Medical PLLC?
- The authorized official listed on North Shore Medical PLLC's NPPES record is Marvin Base, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Shore Medical PLLC's NPI active?
- Yes — North Shore Medical PLLC's NPI (1083966170) is active in the NPPES registry as of the last update on 2024-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.