NORTH SUFFOLK NEUROLOGY, PC (NPI# 1316335540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316335540 |
| Entity Type | Organization |
| Organization Name | NORTH SUFFOLK NEUROLOGY, PC |
| Practice Address |
5 Medical Dr Port Jefferson Station NY 11776-1601 |
| Practice Telephone | 6313649119 |
| Practice Fax Number | 6313649118 |
| Mailing Telephone | 6313649119 |
| Mailing Fax Number | 6313649118 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | DR. WARREN DANIEL SPINNER (CHIEF EXECUTIVE OFFICER/MED. DIR.) |
| Authorized Official Telephone | 6319422516 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
242921 | NY | Ambulatory Health Care Facilities |
| Street Address |
5 MEDICAL DR |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861434946 | Gerardo Tolentino | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1595 | 2006-06-12 |
| 1427536895 | Casey Lynn Ward | Physician Assistant | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2018-07-29 |
| 1659867711 | Adam Dalzell | Physician Assistant | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2018-07-02 |
| 1639677271 | Robert Vincent Honor | Physician Assistant | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2018-01-29 |
| 1740796465 | Mark Peter Ortiz | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2017-12-18 |
| 1417329723 | Sabrina Livoti | Physician Assistant | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2015-10-26 |
| 1487046058 | New Wave Neurology PC | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2015-02-19 |
| 1164617544 | Warren Daniel Spinner | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2007-09-10 |
| 1699852079 | Peter Wigg | Psychologist | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2006-11-01 |
| 1578506051 | Elisa Han | Psychologist | 5 Medical Dr, Port Jefferson Station, NY 11776-1595 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235436130 | Gregory J Diehl Md PC | Clinic/Center | 11 Medical Dr, Suite B, Port Jefferson Station, NY 11776-1589 | 2011-02-12 |
| 1295714277 | Terryville Medical Associates | Clinic/Center | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2006-01-10 |
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| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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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.