CENTRAL SUFFOLK HOSPITAL (NPI# 1043402050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043402050 |
| Entity Type | Organization |
| Organization Name | CENTRAL SUFFOLK HOSPITAL |
| Other Organization Name | PECONIC BAY MEDICAL CENTER PROFESSIONAL GROUP PRACTICE |
| Practice Address |
1300 Roanoke Ave Riverhead NY 11901-2031 |
| Practice Telephone | 6315486116 |
| Practice Fax Number | 6315486007 |
| Mailing Telephone | 6315486116 |
| Mailing Fax Number | 6315486007 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | ANDREW MITCHELL (PRESIDENT/CEO) |
| Authorized Official Telephone | 6315486064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peconic Bay Medical Center Professional Group Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649804 | Central Suffolk Hospital | General Acute Care Hospital | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2005-06-21 |
| 1710901160 | Central Suffolk Hospital | Clinic/Center | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2006-07-27 |
| 1114973856 | Central Suffolk Hospital | Skilled Nursing Facility | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2006-05-25 |
| 1932155678 | Central Suffolk Hospital | Home Health | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CENTRAL SUFFOLK HOSPITAL | Attention: President, 1300 Roanoke Avenue, Riverhead, New York 11901 |
| New York State Corporations | CENTRAL SUFFOLK HOSPITAL FOUNDATION | 1300 Roanoke Ave, Riverhead, Ny 11901 |
| Street Address |
1300 ROANOKE AVE |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649804 | Central Suffolk Hospital | General Acute Care Hospital | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2005-06-21 |
| 1427655653 | Karina Milagros Alvarez | Registered Nurse | 1300 Roanoke Ave, Riverhead, NY 11901-2058 | 2020-10-01 |
| 1598380735 | Michael Robert Cespites Jr. | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-13 |
| 1124643747 | Ariane Osterwald | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-09 |
| 1972127306 | Carolyn Alvarez | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-01 |
| 1457974172 | Sana Hassan | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-28 |
| 1407479314 | Chana Stern | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-26 |
| 1821611096 | Adrienne Clarke | Nurse Anesthetist, Certified Registered | 1300 Roanoke Ave, Riverhead, NY 11901-2058 | 2020-05-22 |
| 1982227112 | Isaac Lee | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-21 |
| 1598386120 | Mahrukh Riaz | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2058 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274454 | Nisar Alvi M.d. P.C. | Hospitalist | 2613 Pinebluff Dr, Vestal, NY 13850-2909 | 2017-02-20 |
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1174986228 | Niyati Ajit Bhagwat | Hospitalist | Nyu Winthrop Hospital, 259 1st Street, Mineola, NY 11501 | 2016-04-05 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1538520440 | Myung Sun Choi | Hospitalist | 1425 Portland Ave Ste 204, Rochester, NY 14621-3011 | 2016-03-19 |
| 1992177711 | Saroj Sapkota | Hospitalist | 11111 Liberty Ave, South Richmond Hill, NY 11419-1811 | 2015-10-21 |
| 1255715116 | Shorabh Sharma | Hospitalist | 4422 Third Ave Mills Building, Department of Internal Medicine, Bronx, NY 10457 | 2015-07-10 |
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1659787653 | Symphony Medical PC | Hospitalist | 27 S Washington Ave, Dobbs Ferry, NY 10522-1806 | 2014-07-10 |
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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.