NORTH SUFFOLK MEDICAL ASSOCIATES, P.C. (NPI# 1639216476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639216476 |
| Entity Type | Organization |
| Organization Name | NORTH SUFFOLK MEDICAL ASSOCIATES, P.C. |
| Practice Address |
1019 Fort Salonga Rd Ste 101 Northport NY 11768-2270 |
| Practice Telephone | 6312621314 |
| Practice Fax Number | 6312621328 |
| Mailing Telephone | 6312621314 |
| Mailing Fax Number | 6312621328 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-10-30 |
| Authorized Official Name | MS. ELISSA L KOPF (MEDICAL BILLER) |
| Authorized Official Telephone | 6312621314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 183593 | NY | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTH SUFFOLK MEDICAL ASSOCIATES, P.C. | 1019 Fort Salonga Rd, Ste 101, Northport, Ny 117682270 |
| Street Address |
1019 FORT SALONGA RD STE 101 |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-2270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245896695 | Paul Soloway | Medical Genetics, Ph.D. Medical Genetics | 327 The Pkwy, Ithaca, NY 14850-2275 | 2019-05-11 |
| 1376908418 | Robert Miller | Medical Genetics, Ph.D. Medical Genetics | 213 Glen St, Glen Cove, NY 11542-2734 | 2015-12-16 |
| 1831467935 | Tili Medical Office Pllc | Medical Genetics, Ph.D. Medical Genetics | 5830 Main St Fl 1, Flushing, NY 11355-5336 | 2011-12-05 |
| 1629393608 | Zahra Fayzi | Medical Genetics, Ph.D. Medical Genetics | 8940 Galway Ter, Clarence Center, NY 14032-9400 | 2010-04-01 |
| 1982931218 | Interpublic Medical PC | Medical Genetics, Ph.D. Medical Genetics | 1005 Richmond Rd, Staten Island, NY 10304-2413 | 2009-11-06 |
| 1174777411 | Franklin Lee | Medical Genetics, Ph.D. Medical Genetics | 13604 Northern Blvd Ste Cu3, Flushing, NY 11354-6515 | 2008-11-13 |
| 1598926354 | W.liang's Medical Office | Medical Genetics, Ph.D. Medical Genetics | 13302 41st Ave Apt 1f, Flushing, NY 11355-5848 | 2008-06-24 |
| 1174664643 | Lnw Medical Office, Pllc | Medical Genetics, Ph.D. Medical Genetics | 33 Walt Whitman Rd Ste 100a, Huntington Station, NY 11746-3631 | 2007-02-09 |
| 1568533917 | Thomas C Shanahan | Medical Genetics, Ph.D. Medical Genetics | 110 Broadway St, Buffalo, NY 14203-1630 | 2006-11-09 |
| 1144307927 | Yuqing Chen | Medical Genetics, Ph.D. Medical Genetics | 3907 Prince St Ste 2d, Flushing, NY 11354-5321 | 2006-11-01 |
| 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.