Southside Hospital Emergency Department
NPI 1528025459 · Emergency Medicine Physician · Bay Shore, NY
Southside Hospital Emergency Department is a Emergency Medicine Physician organization in Bay Shore, NY (NPI 1528025459).
Provider details
- NPI number
- 1528025459
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southside Hospital
- Organization subpart
- Yes
- Authorized official
- Winifred Mack, Cfo(631) 968-9000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-04-26
- Last updated
- 2007-10-09
Frequently asked questions
- What is Southside Hospital Emergency Department's NPI number?
- Southside Hospital Emergency Department's National Provider Identifier (NPI) is 1528025459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Hospital Emergency Department?
- Southside Hospital Emergency Department is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Hospital Emergency Department located?
- Southside Hospital Emergency Department's practice location on file with NPPES is 301 E Main St, Bay Shore, NY 11706-8408.
- What is Southside Hospital Emergency Department's phone number?
- The practice phone number listed in the NPPES registry for Southside Hospital Emergency Department is (631) 675-4149.
- Who is the authorized official for Southside Hospital Emergency Department?
- The authorized official listed on Southside Hospital Emergency Department's NPPES record is Winifred Mack, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Hospital Emergency Department's NPI active?
- Yes — Southside Hospital Emergency Department's NPI (1528025459) is active in the NPPES registry as of the last update on 2007-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.