Southside Hospital Faculty Practice
NPI 1619934544 · Internal Medicine Physician · Bay Shore, NY
Southside Hospital Faculty Practice is a Internal Medicine Physician organization in Bay Shore, NY (NPI 1619934544).
Provider details
- NPI number
- 1619934544
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southside Hospital
- Organization subpart
- Yes
- Authorized official
- Winifred Mack, Cfo(631) 968-9000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
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
- 2008-08-13
Frequently asked questions
- What is Southside Hospital Faculty Practice's NPI number?
- Southside Hospital Faculty Practice's National Provider Identifier (NPI) is 1619934544, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Hospital Faculty Practice?
- Southside Hospital Faculty Practice is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Hospital Faculty Practice located?
- Southside Hospital Faculty Practice's practice location on file with NPPES is 301 E Main St, Bay Shore, NY 11706-8408.
- What is Southside Hospital Faculty Practice's phone number?
- The practice phone number listed in the NPPES registry for Southside Hospital Faculty Practice is (631) 675-4149.
- Who is the authorized official for Southside Hospital Faculty Practice?
- The authorized official listed on Southside Hospital Faculty Practice'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 Faculty Practice's NPI active?
- Yes — Southside Hospital Faculty Practice's NPI (1619934544) is active in the NPPES registry as of the last update on 2008-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.