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

South Shore Medical

Organization Sports Medicine (Family Medicine) Physician · NPI 1407794282

South Shore Medical is a Sports Medicine (Family Medicine) Physician in Sayville, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5640 Sunrise Hwy
Sayville, NY 11782-1016
Phone: (516) 761-1668
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1407794282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Lyon — Practitioner/Physician · (516) 761-1668
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address5640 Sunrise Hwy, Sayville, NY 11782-1016