| Dr Gary J Shore, MD | |
|
31 Merrick Ave, Suite 230, Merrick, NY 11566-3477 | |
| (516) 377-2820 | |
| (516) 378-2968 |
| Full Name | Dr Gary J Shore |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 31 Merrick Ave, Merrick, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659354942 | NPI | - | NPPES |
| 01432833 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 179490 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Constellation Home Care | Syosset, NY | Home health agency |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary J Shore, MD 87 E Lexington Ave, Oceanside, NY 11572-5420 Ph: (516) 377-2820 | Dr Gary J Shore, MD 31 Merrick Ave, Suite 230, Merrick, NY 11566-3477 Ph: (516) 377-2820 |
Dr. Joelle Vital, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2209 Merrick Rd Ste 202, Merrick, NY 11566 Phone: 516-414-1101 Fax: 516-414-1131 | |
Tibian Abramovitz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1928 Lowell Ln, Merrick, NY 11566 Phone: 516-665-3513 | |
Dr. Sarada Jaimungal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2209 Merrick Rd Ste 100, Merrick, NY 11566 Phone: 516-546-5000 Fax: 516-546-0596 | |
Kavitha Vijayasekar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1068 Susan Ct, Merrick, NY 11566 Phone: 860-878-8955 | |
Natalya Gazizov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 47 Montauk Ave, Merrick, NY 11566 Phone: 516-513-0626 | |
Samima Sultana Habbsa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2209 Merrick Rd, Merrick, NY 11566 Phone: 516-546-5000 | |
Dr. Alexander P Edayadi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1735 Carroll Ave, Merrick, NY 11566 Phone: 516-502-6699 |