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

South Nassau Family Medicine PC

Organization Family Medicine Physician · NPI 1902891781

South Nassau Family Medicine PC provides Family Medicine Physician services 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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