| South Bay Medical Care P.c. | |
|
625 Montauk Hwy Center Moriches NY 11934 | |
| (631) 878-7134 | |
| (631) 878-5118 |
| Full Name | South Bay Medical Care P.c. |
|---|---|
| Speciality | Emergency Medicine |
| Location | 625 Montauk Hwy, Center Moriches, New York |
| Authorized Official Name and Position | David T Goldman (DIRECTOR) |
| Authorized Official Contact | 6318787134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Medical Care P.c. 625 Montauk Hwy Center Moriches NY 11934 Ph: (631) 878-7134 | South Bay Medical Care P.c. 625 Montauk Hwy Center Moriches NY 11934 Ph: (631) 878-7134 |
| NPI Number | 1366569352 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 3678620275 |
|---|---|
| Medicare Enrollment ID | O20090420000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366569352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | David T Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952377707 PECOS PAC ID: 9335206218 Enrollment ID: I20090319000577 |
| Provider Name | Candice Nicole King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871902767 PECOS PAC ID: 3476853235 Enrollment ID: I20151130001492 |
| Provider Name | Richard Cloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891269619 PECOS PAC ID: 3072981224 Enrollment ID: I20221121000582 |
Mid Island Medical Associates, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 172 Belleview Ave, Center Moriches, NY 11934 Phone: 516-697-8387 Fax: 516-365-1476 | |
Federation Employment And Guidance Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Main St, Center Moriches, NY 11934 Phone: 631-874-2700 Fax: 631-874-3786 | |
Center Moriches Medical Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Union Ave, Center Moriches, NY 11934 Phone: 516-243-8660 Fax: 516-342-6179 |