UCPA OF SUFFOLK INC (NPI# 1609964790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609964790 |
| Entity Type | Organization |
| Organization Name | UCPA OF SUFFOLK INC |
| Other Organization Name | UCP SUFFOLK HEALTH CENTER |
| Practice Address |
159 Carleton Ave Central Islip NY 11722-4172 |
| Mailing Address |
250 Marcus Blvd Hauppauge NY 11788-2018 |
| Practice Telephone | 6314394314 |
| Practice Fax Number | 6314394319 |
| Mailing Telephone | 6314394314 |
| Mailing Fax Number | 6314394319 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | MS. JANINE KLEIN (CHIEF FINANCIAL OFFICER UCPA) |
| Authorized Official Telephone | 6312320011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 5157203R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00354921 | 05 |
| Other Name | Type Code |
|---|---|
| UCP Suffolk Health Center | Other Name - Individual/Organization |
| Street Address |
159 CARLETON AVE |
| City | CENTRAL ISLIP |
| State | NY |
| Zip Code | 11722-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165829 | Amber Distafano | Registered Nurse | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2020-05-07 |
| 1437704962 | Andrea Monitto | Dental Hygienist | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2019-08-01 |
| 1518486877 | Jaclyn A Farino | Nurse Practitioner | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2017-09-18 |
| 1891240784 | Long Island Select Healthcare, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2016-08-20 |
| 1043663107 | Long Island Select Healthcare, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2016-07-13 |
| 1235416397 | Christina Alicia Bianchini | Physical Therapist | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2011-11-03 |
| 1508170242 | Michele Lukasiewic | Social Worker | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2010-08-05 |
| 1912219841 | Susan M Trees | Registered Nurse | 159 Carleton Ave, Central Islip, NY 11722 | 2010-07-08 |
| 1679800213 | Jo Ann V. Lewis | Social Worker | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2009-11-03 |
| 1386886810 | United Cerebral Palsy Association of Greater Suffolk, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2009-03-30 |
| Find all providers in the same location | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1457455669 | Suffolk County Dept of Health Services | Clinic/Center | 45 W Suffolk Ave, Central Islip, NY 11722-2143 | 2006-09-08 |
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| 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 |
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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.