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South Shore Neurologic Associates P.C.

Neurology Physician in Islip, NY · enumerated 2006 · authorized official Angela Deritis, Certified Medical Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417905969

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Registry record

Entity type Organization (Type 2)
Legal business name South Shore Neurologic Associates P.C.
Practice address 712 Main St, Islip, NY, 11751
Phone (631) 666-3939
Fax (631) 666-3994
Enumeration date May 5, 2006
Last updated in NPPES Nov 8, 2013

Taxonomy & classification

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Angela Deritis
Title Certified Medical Manager
Phone (631) 666-3939

Other identifiers

Identifier Type State Issuer
01259347 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for South Shore Neurologic Associates P.C.?
NPPES lists Angela Deritis (Certified Medical Manager) as the authorized official for this organization.
What is the NPI number for South Shore Neurologic Associates P.C.?
The NPI for South Shore Neurologic Associates P.C. is 1417905969, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-08.