OrganizationActive
Southshore Medical Practice Management, Inc
NPI 1649575242 · Contractor · Bay Shore, NY
Southshore Medical Practice Management, Inc is a Contractor organization in Bay Shore, NY (NPI 1649575242).
Provider details
- NPI number
- 1649575242
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Patricia Brezault, Administrator(631) 604-4020
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
56 W Main St Ste 203
Bay Shore, NY 11706-8327
Phone: (631) 604-4020
Street-level locationGet directions
Mailing address
56 W Main St Ste 203
Bay Shore, NY 11706-8327
Registry dates
- Enumerated
- 2011-01-13
- Last updated
- 2011-01-24
Frequently asked questions
- What is Southshore Medical Practice Management, Inc's NPI number?
- Southshore Medical Practice Management, Inc's National Provider Identifier (NPI) is 1649575242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southshore Medical Practice Management, Inc?
- Southshore Medical Practice Management, Inc is classified in the NPPES registry as Contractor (Other Service Providers).
- Where is Southshore Medical Practice Management, Inc located?
- Southshore Medical Practice Management, Inc's practice location on file with NPPES is 56 W Main St Ste 203, Bay Shore, NY 11706-8327.
- What is Southshore Medical Practice Management, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southshore Medical Practice Management, Inc is (631) 604-4020.
- Who is the authorized official for Southshore Medical Practice Management, Inc?
- The authorized official listed on Southshore Medical Practice Management, Inc's NPPES record is Patricia Brezault, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southshore Medical Practice Management, Inc's NPI active?
- Yes — Southshore Medical Practice Management, Inc's NPI (1649575242) is active in the NPPES registry as of the last update on 2011-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.