Southside Hospital Emergency Department
NPI 1528025459ActiveOrganization· Emergency Medicine· Bay Shore, NY
Emergency Medicine in Bay Shore, New York, registered in NPPES in April 2006, part of Southside Hospital. The authorized official on file is Winifred Mack, Cfo.
Overview
| NPI | 1528025459 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southside Hospital |
| NPI issued | Apr 26, 2006 |
| Last updated in NPPES | Oct 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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