COUNTY OF SUFFOLK (NPI# 1669574547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669574547 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SUFFOLK |
| Other Organization Name | METHADONE MAINTENANCE CLINIC |
| Practice Address |
200 Wireless Blvd Hauppauge NY 11788-3974 |
| Mailing Address |
3500 Sunrise Hwy Suite 124, Po Box 9006 Great River NY 11739-1001 |
| Practice Telephone | 6318537373 |
| Mailing Telephone | 6318540100 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | MR. GREGSON PIGOTT (COMMISSIONER) |
| Authorized Official Telephone | 6318540100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
040710508 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03003665 | 05 |
| Other Name | Type Code |
|---|---|
| METHADONE MAINTENANCE CLINIC | Other Name - Individual/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 |
| 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 |
| 1275637480 | County of Suffolk | Clinic/Center | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2006-09-08 |
| Street Address |
200 WIRELESS BLVD |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057432 | Sandra Iasevoli | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2020-09-15 |
| 1508480344 | Cindy Ann Salvato | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2020-06-07 |
| 1710529896 | Kristen Mcallister | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2019-10-10 |
| 1427569565 | Christine Panuccio | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2017-10-16 |
| 1285020396 | Lorraine Wisnieski | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2015-04-15 |
| 1730587866 | Donna Rae Aebisher | Social Worker | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2014-12-05 |
| 1447590955 | Britt Evelyn Peterson | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2013-02-20 |
| 1952685836 | Marge T Crane | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788 | 2011-10-10 |
| 1386766293 | Francis John Safina | Internal Medicine | 200 Wireless Blvd, Hauppauge, NY 11788-3933 | 2007-04-04 |
| 1992827919 | Beverly Ann Zapasek | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3933 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285020396 | Lorraine Wisnieski | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2015-04-15 |
| 1659491975 | Dept. of Health | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3933 | 2007-03-30 |
| 1649374851 | County of Suffolk | Clinic/Center | North County Complex, Building 151, Hauppauge, NY 11788 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770951204 | Beth Israel Medical Center | Clinic/Center | 160 Water St Fl 24, New York, NY 10038-4922 | 2015-09-15 |
| 1770885451 | The Guidance Center Cdtc | Clinic/Center | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2010-12-01 |
| 1265665954 | Northpointe Council Inc | Clinic/Center | 1001 11th Street, Niagra Falls, NY 14301 | 2009-08-27 |
| 1073722286 | Concourse Medical Center Inc | Clinic/Center | 880 Morris Ave, Bronx, NY 10451-3412 | 2007-05-22 |
| 1427125632 | Ses Operating Corp | Clinic/Center | 2367 -69 Second Ave, New York, NY 10035-3108 | 2006-11-30 |
| 1396843967 | Gramaercy Park Medical Group | Clinic/Center | 253 3rd Ave # 55, New York, NY 10010-7401 | 2006-09-20 |
| 1891897781 | County of Suffolk | Clinic/Center | 689 Jericho Tpke, Huntington Station, NY 11746-7501 | 2006-09-02 |
| 1083618672 | Buffalo Beacon Corporation | Clinic/Center | 3354 Sheridan Dr, Amherst, NY 14226-1439 | 2005-06-10 |
| 1801428222 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-02-05 |
| 1437798824 | Sisters of Charity Hospital of Buffalo New York | Clinic/Center | 158 Holden St, Buffalo, NY 14214-2226 | 2020-01-02 |
| 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.