SUFFOLK COUNTY DEPT OF HEALTH SERVICES (NPI# 1457455669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457455669 |
| Entity Type | Organization |
| Organization Name | SUFFOLK COUNTY DEPT OF HEALTH SERVICES |
| Other Organization Name | CENTRAL ISLIP SATELLITE CENTER |
| Practice Address |
45 W Suffolk Ave Central Islip NY 11722-2143 |
| Mailing Address |
P.o. Box 9006 3500 Sunrise Hwy, Suite 124 Great River NY 11739-9006 |
| Practice Telephone | 6318532710 |
| Mailing Telephone | 6318540000 |
| Mailing Fax Number | 6318540108 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | DR. JAMES L TOMARKEN (COMMISSIONER) |
| Authorized Official Telephone | 6318540100 |
| Authorized Official Credential | MD, MPH, MBA, MS |
| 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 | 00473170 | 05 |
| Other Name | Type Code |
|---|---|
| CENTRAL ISLIP SATELLITE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831265677 | Suffolk County Dept of Health Services | Clinic/Center | 350 Martha Avenue, Bellport, NY 11713 | 2006-11-24 |
| 1104920313 | Suffolk County Dept of Health Services | Clinic/Center | 300 Center Dr, Riverhead, NY 11901-3393 | 2006-09-08 |
| 1699877811 | Suffolk County Dept of Health Services | Case Management | 998 Crooked Hill Rd, Pilgrim St Psych Ctr, Brentwood, NY 11717-1043 | 2006-09-01 |
| 1720091945 | Suffolk County Dept of Health Services | Clinic/Center | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2006-08-15 |
| Street Address |
45 W SUFFOLK AVE |
| City | CENTRAL ISLIP |
| State | NY |
| Zip Code | 11722-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528001260 | David Sanchez | Pediatrics | 45 W Suffolk Ave, Suite 200, Central Islip, NY 11722-2156 | 2006-06-13 |
| 1588094288 | Suffolk Medical PC | Family Medicine | 45 W Suffolk Ave, 2nd Floor, Central Islip, NY 11722-2156 | 2013-11-15 |
| 1427355775 | Suffolk Pediatric, PC | Family Medicine | 45 W Suffolk Ave, 2nd Floor, Central Islip, NY 11722-2156 | 2011-02-23 |
| 1861663064 | Kathleen Fitzsimons Mccarroll | Nurse Practitioner | 45 W Suffolk Ave, Suite 200, Central Islip, NY 11722-2143 | 2008-03-14 |
| 1184798977 | Southside Hospital | Clinic/Center | 45 W Suffolk Ave, Central Islip, NY 11722-2143 | 2006-11-20 |
| 1265448682 | Sarita Khanijo | Family Medicine | 45 W Suffolk Ave, Central Islip, NY 11722-2143 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526185 | Pamela Bettes | Specialist/Technologist | 1650 Islip Avenue, Central Islip, NY 11722 | 2019-06-07 |
| 1306386537 | Rosetta Emille | Counselor | 421 Smith Street, Central Islip, NY 11722 | 2017-03-07 |
| 1194190850 | Muili Adebayo Awotorebo | Licensed Practical Nurse | 25 Cedar Street, Central Islip, NY 11722 | 2015-12-07 |
| 1841625613 | Valerie Chamberlain | Social Worker | 1832 Finch Ln, Central Islip, NY 11722 | 2013-09-11 |
| 1427307529 | Nicole Loibl | Pharmacist | 160 North Research Place, Central Islip, NY 11722 | 2012-09-05 |
| 1396053203 | Stephanie L Urban | Counselor | 115 Glenmore Avenue, Central Islip, NY 11722 | 2010-09-14 |
| 1487982914 | Christine Rosemarie Campbell | Counselor | 1499 Islip Ave, Central Islip, NY 11722 | 2009-11-20 |
| 1144454315 | Farah Kennedy | Licensed Practical Nurse | 67 Woodland Ave, Central Islip, NY 11722 | 2009-05-04 |
| 1366618563 | Lucretia Cory Banks | Licensed Practical Nurse | 14 Walnut Street, Central Islip, NY 11722 | 2008-05-07 |
| 1134391097 | Donna Maria Ortiz Orulepe | Licensed Vocational Nurse | 70 Pinewood Ave, Central Islip, NY 11722 | 2008-03-31 |
| Find all providers in zip 11722 | ||||
| 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 |
|---|---|---|---|---|
| 1609964790 | Ucpa of Suffolk Inc | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2006-10-11 |
| 1669411591 | Federation Employment and Guidance Service, Inc. | Clinic/Center | 320 Carleton Ave, Central Islip, NY 11722-4506 | 2006-06-06 |
| 1043663107 | Long Island Select Healthcare, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2016-07-13 |
| 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 | ||||
| City | CENTRAL ISLIP |
| Zip Code | 11722 |
Please comment or provide details below to improve the information on SUFFOLK COUNTY DEPT OF HEALTH SERVICES.
| 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.