Healthcare Provider Details

I. General information

NPI: 1548117872
Provider Name (Legal Business Name): SOUTH SHORE MDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2048 WASHINGTON ST STE 3
HANOVER MA
02339-1658
US

IV. Provider business mailing address

2048 WASHINGTON ST STE 3
HANOVER MA
02339-1658
US

V. Phone/Fax

Practice location:
  • Phone: 781-561-0460
  • Fax: 781-243-4064
Mailing address:
  • Phone: 781-561-0460
  • Fax: 781-243-4064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RH0005X
TaxonomyHypertension Specialist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHERIFAT A HINCHEY
Title or Position: OWNER/PHYSICIAN
Credential: MD, MPH
Phone: 781-561-0460