Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

North Shore Medical Group PLLC

Organization Adult Medicine Physician · NPI 1487252581

North Shore Medical Group PLLC is an Adult Medicine Physician in Syracuse, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

311 Skyview Ter
Syracuse, NY 13219-2835
Phone: (315) 935-1154
Fax: (952) 209-2012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1487252581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshu Coppola — Pa · (315) 289-6300
NPI enumeratedOctober 12, 2020
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022
Mailing address311 Skyview Ter, Syracuse, NY 13219-2835

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