CENTRAL SUFFOLK HOSPITAL (NPI# 1386649804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386649804 |
| Entity Type | Organization |
| Organization Name | CENTRAL SUFFOLK HOSPITAL |
| Other Organization Name | PECONIC BAY MEDICAL CENTER |
| Practice Address |
1300 Roanoke Ave Riverhead NY 11901-2031 |
| Practice Telephone | 6315486000 |
| Practice Fax Number | 6315486007 |
| Mailing Telephone | 6315486000 |
| Mailing Fax Number | 6315486007 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MR. MICHAEL O'DONNELL (CFO, SENIOR VP OF FINANCE) |
| Authorized Official Telephone | 6315486074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 5155000H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00274328 | 05 | |
| NY | OXFORD | H03149 | 01 |
| NY | BLUE CROSS | 000250-7 | 01 |
| NY | AETNA US HEALTHCARE | 0007461 | 01 |
| NY | BC DIALYSIS | 5225-7 | 01 |
| Other Name | Type Code |
|---|---|
| Peconic Bay Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043402050 | Central Suffolk Hospital | Physician Assistant | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2007-08-14 |
| 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 |
| Street Address |
1300 ROANOKE AVE |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1740801166 | Bala Veerabathini | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-04-27 |
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| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841624756 | Peconic Bay Medical Center | General Acute Care Hospital | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2013-08-27 |
| 1205274081 | Peconic Bay Medical Center | General Acute Care Hospital | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2013-06-13 |
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|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
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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.