South Shore Family Medical Associates, P.C.
NPI 1720122716 · Family Medicine Physician · Inwood, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Shore Family Medical Associates, P.C. is a Family Medicine Physician organization in Inwood, NY (NPI 1720122716).
Provider details
- NPI number
- 1720122716
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allan Detweiler, President(516) 371-6884
- License
- 205232 (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
19 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
- 2007-02-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is South Shore Family Medical Associates, P.C.'s NPI number?
- South Shore Family Medical Associates, P.C.'s National Provider Identifier (NPI) is 1720122716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Family Medical Associates, P.C.?
- South Shore Family Medical Associates, P.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South Shore Family Medical Associates, P.C. located?
- South Shore Family Medical Associates, P.C.'s practice location on file with NPPES is 271 Doughty Blvd, Inwood, NY 11096-2135.
- What is South Shore Family Medical Associates, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for South Shore Family Medical Associates, P.C. is (516) 371-6884.
- Does South Shore Family Medical Associates, P.C. accept Medicare?
- South Shore Family Medical Associates, 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 Family Medical Associates, P.C.?
- The authorized official listed on South Shore Family Medical Associates, P.C.'s NPPES record is Allan Detweiler, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Family Medical Associates, P.C.'s NPI active?
- Yes — South Shore Family Medical Associates, P.C.'s NPI (1720122716) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.