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

Ny Shoreline Medical Services PLLC

Organization Surgical Physician Assistant · NPI 1992661359

Ny Shoreline Medical Services PLLC is a Surgical Physician Assistant in Bohemia, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4875 Sunrise Hwy Ste 302
Bohemia, NY 11716-4630
Phone: (917) 575-8907
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1992661359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Brevetti — Owner · (917) 575-8907
NPI enumeratedDecember 30, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address4875 Sunrise Hwy Ste 302, Bohemia, NY 11716-4630