SUFFOLK COUNTY DEPT OF HEALTH SERVICES (NPI# 1831265677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831265677 |
| Entity Type | Organization |
| Organization Name | SUFFOLK COUNTY DEPT OF HEALTH SERVICES |
| Other Organization Name | BOCES - SCHOOL BASED PROGRAM |
| Practice Address |
350 Martha Avenue Bellport NY 11713 |
| Mailing Address |
225 Rabro Dr East Hauppauge NY 11788 |
| Practice Telephone | 6318541200 |
| Mailing Telephone | 6318534026 |
| Mailing Fax Number | 6318532922 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID GRAHAM (ACTING COMMISSIONER) |
| Authorized Official Telephone | 6318533000 |
| Authorized Official Credential | M.D., M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
5155200R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00473170 | 05 |
| Other Name | Type Code |
|---|---|
| BOCES - School Based Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457455669 | Suffolk County Dept of Health Services | Clinic/Center | 45 W Suffolk Ave, Central Islip, NY 11722-2143 | 2006-09-08 |
| 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 |
350 MARTHA AVENUE |
| City | BELLPORT |
| State | NY |
| Zip Code | 11713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621210 | Jessica Henderson-gray | Licensed Practical Nurse | 735 Walker Ave, Bellport, NY 11713 | 2016-11-15 |
| 1184166969 | Eshelai Jainese Fitzgerald | Licensed Practical Nurse | 138 New Jersey Ave, Bellport, NY 11713 | 2016-11-10 |
| 1437592557 | Rachel Boykin | Licensed Practical Nurse | 654 Meade Avenue, Bellport, NY 11713 | 2013-04-08 |
| 1922383702 | Gabrielle Maria Coyne | Student in an Organized Health Care Education/Training Program | 35 Kreamer Street, Bellport, NY 11713 | 2011-10-12 |
| 1003124595 | Cathy Jean Ekstrom | Speech-Language Pathologist | 352 Martha Ave, Bellport, NY 11713 | 2010-09-17 |
| 1841440401 | Colline Ann Murphy | Licensed Practical Nurse | 755 Bourdois Ave, Bellport, NY 11713 | 2008-09-19 |
| 1134398209 | Althea Lavernie Bullen | Registered Nurse | 548 Bellport Ave, Bellport, NY 11713 | 2008-02-22 |
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1316153109 | Serenity Enterprises Inc | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-16 |
| 1972641256 | Anne Dooling | Social Worker | 56 Bieselin Road, Bellport, NY 11713 | 2007-02-01 |
| Find all providers in zip 11713 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893371 | Manreet Kaur | Clinic/Center | 6140 166th St, Flushing, NY 11365-2165 | 2020-05-28 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1528611084 | Hudson Headwaters Health Network | Clinic/Center | 27 Hyland Dr, Lake Luzerne, NY 12846-3923 | 2019-07-23 |
| 1639635535 | Montefiore Medical Center | Clinic/Center | 1619 Boston Rd, Bronx, NY 10460-4945 | 2019-02-15 |
| 1316412513 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, Room 108, Bronx, NY 10457 | 2018-10-04 |
| 1902392749 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, 1st Floor, Bronx, NY 10457 | 2018-07-05 |
| 1700372687 | Montefiore Medical Center | Clinic/Center | 456 White Plains Rd, Bronx, NY 10473-2436 | 2018-07-03 |
| 1477040566 | Montefiore Medical Center | Clinic/Center | 3710 Barnes Ave, Bronx, NY 10467-5808 | 2018-04-16 |
| 1699287920 | Montefiore Medical Center | Clinic/Center | 1002 Teller Ave, Bronx, NY 10456-6105 | 2017-10-26 |
| 1093253163 | Una Jane Victoria Allen | Clinic/Center | 2811 Queens Plz N # 402, Long Island City, NY 11101-4008 | 2017-02-08 |
| 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.