OrganizationActive
Good Shepherd Hospice
NPI 1992131635 · Hospice and Palliative Medicine (Anesthesiology) Physician · Farmingdale, NY
Provider details
- NPI number
- 1992131635
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Good Shepherd Hospice
- Organization subpart
- Yes
- Authorized official
- Kerrianne Page, Chief Medical Officer(631) 465-6300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
110 Bi County Blvd
Farmingdale, NY 11735-3943
Phone: (631) 828-7415
Fax: (631) 828-7494
Approximate (ZIP-level) locationGet directions
Mailing address
110 Bi County Blvd
Farmingdale, NY 11735-3943
Other names (DBA / former)
- Other name
- Good Shepherd Physicians
- Other name
- Good Shepherd Physicians
Registry dates
- Enumerated
- 2013-09-25
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.