Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ny Shoreline Medical Services PLLC

Organization Surgical Physician Assistant · NPI 1992661359

Ny Shoreline Medical Services PLLC provides Surgical Physician Assistant services 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