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

South Shore Cardiovascular Medicine

Organization Cardiovascular Disease Physician · NPI 1487679346

South Shore Cardiovascular Medicine is a Cardiovascular Disease Physician in Amityville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

137 Broadway Ste A
Amityville, NY 11701-2742
Phone: (631) 264-2424
Fax: (631) 264-7881
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 161768-1 (NY)

Record details

NPI number1487679346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ruisi — President · (631) 264-2424
NPI enumeratedJuly 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address15 Skipper Dr, West Islip, NY 11795-5029

Other providers in Amityville