COUNTY OF SUFFOLK (NPI# 1275637480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275637480 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SUFFOLK |
| Other Organization Name | MARTIN LUTHER KING JR FAMILY HEALTH CENTER |
| Practice Address |
1556 Straight Path Wyandanch NY 11798-3213 |
| Mailing Address |
3500 Sunrise Hwy, Suite 124 P.o. Box 9006 Great River NY 11739-9006 |
| Practice Telephone | 6318541700 |
| Practice Fax Number | 6318541783 |
| Mailing Telephone | 6318540000 |
| Mailing Fax Number | 6318540108 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | DR. JAMES L TOMARKEN (COMMISSIONER) |
| Authorized Official Telephone | 6318540100 |
| Authorized Official Credential | MSW,MPH,MBA,FRCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03003601 | 05 |
| Other Name | Type Code |
|---|---|
| MARTIN LUTHER KING JR FAMILY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760586978 | County of Suffolk | Local Education Agency (LEA) | 50 Laser Ct, Hauppauge, NY 11788 | 2006-09-08 |
| 1891897781 | County of Suffolk | Clinic/Center | 689 Jericho Tpke, Huntington Station, NY 11746-7501 | 2006-09-02 |
| 1669574547 | County of Suffolk | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2006-09-02 |
| 1871506055 | County of Suffolk | Home Health | 3500 Sunrise Hwy Ste 124, Great River, NY 11739-1001 | 2006-08-15 |
| 1851321152 | County of Suffolk | Clinic/Center | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2006-07-03 |
| 1104868702 | County of Suffolk | Skilled Nursing Facility | 14 Glover Dr, Yaphank, NY 11980-1204 | 2006-06-11 |
| 1093963910 | County of Suffolk | Case Management | 50 Laser Ct, Hauppauge, NY 11788-3958 | 2008-09-04 |
| 1285750737 | County of Suffolk | Public Health or Welfare | 3500 Sunrise Hwy Ste 124, Pob 9006, Great River, NY 11739-1001 | 2007-03-22 |
| 1386748598 | County of Suffolk | Clinic/Center | 300 Center Dr, Riverhead, NY 11901-3393 | 2006-09-08 |
| 1366546574 | County of Suffolk | Clinic/Center | 300 Center Dr, County Center, Riverhead, NY 11901-3393 | 2006-09-08 |
| Street Address |
1556 STRAIGHT PATH |
| City | WYANDANCH |
| State | NY |
| Zip Code | 11798-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346344710 | Rajesh Savargaonkar | Pediatrics | 1556 Straight Path, Martin Luther King Jr Health Center, Wyandanch, NY 11798 | 2006-09-07 |
| 1265955850 | Marie O'donnell | Social Worker | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2017-07-25 |
| 1396195343 | Carly Gennaro | Family Medicine | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2016-06-20 |
| 1154705531 | Maria Roman-kasmierczak | Social Worker | 1556 Straight Path, Hudson River Healthcare, Inc., Wyandanch, NY 11798-3213 | 2015-07-15 |
| 1952718181 | Hudson River Healthcare, Inc. | Case Management | 1556 Straight Path, Hrhcare Wyandanch, Wyandanch, NY 11798-3213 | 2014-07-21 |
| 1639267776 | Emilio P Quines Jr. | Family Medicine | 1556 Straight Path, Martin Luther King Jr Health Center, Wyandanch, NY 11798 | 2006-10-11 |
| 1568568236 | Donna Moodie | Dietitian, Registered | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2006-09-16 |
| 1255435665 | Arthur Calica Liclican | Internal Medicine | 1556 Straight Path, Wyandanch, NY 11798 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868308 | Debra Mccall | Social Worker | 228 Nicholls Road, Wheatley Heights, NY 11798 | 2019-12-18 |
| 1003454448 | Wyandanch Pt, Family Health Np and Chiropractic Pllc | Chiropractor | 32 Station Drive, Wyandanch, NY 11798 | 2019-12-17 |
| 1477912749 | Ivan St.louis | Physical Therapy Assistant | 8 Adams Avenue, Wheatley Hgts, NY 11798 | 2016-02-16 |
| 1396115044 | Nitika Kohli | Physical Therapist | 27 Manchester Blvd, Wheatley Heights, NY 11798 | 2015-10-06 |
| 1760800999 | Anna Aygar | Social Worker | 240 Long Islan Avenue, Wyandanch, NY 11798 | 2014-04-04 |
| 1831514439 | Maglyne Badeau | Registered Nurse | 36 Venedia Drive, Wheatley Heights, NY 11798 | 2014-02-19 |
| 1861700866 | Patricia Maria Suazo | Home Health | 68 South 26th Street, Wyandanch, NY 11798 | 2010-09-24 |
| 1588980353 | Natasha Lee Fonseca | Social Worker | 240 Long Island Avenue, Wyandanch, NY 11798 | 2010-04-19 |
| 1154563070 | Leticia Langdet | Registered Nurse | 1 Irving Avenue, Apt 2-b, Wyandanch, NY 11798 | 2009-03-25 |
| 1184845836 | Yanick Boucard | Occupational Therapy Assistant | 4 Sunset Ave, Wheatly Heights, NY 11798 | 2007-05-01 |
| Find all providers in zip 11798 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275927600 | Federation of Organizations for The Ny State Mentally Disabled Inc | Clinic/Center | 240a Long Island Ave, Wyandanch, NY 11798-3123 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.