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

South Nassau Family Medicine PC

Organization Family Medicine Physician · NPI 1902891781

South Nassau Family Medicine PC is a Family Medicine Physician in Oceanside, New York. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

196 Merrick Rd
Oceanside, NY 11572-1420
Phone: (516) 255-8400
Fax: (516) 255-8453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1902891781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Ippolito — Chairman · (516) 255-8400
NPI enumeratedSeptember 16, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1 Healthy Way, Attn: Physician Billing Dept, Oceanside, NY 11572-1551

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