CENTRAL SUFFOLK HOSPITAL (NPI# 1932155678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932155678 |
| 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 | 6315486397 |
| Mailing Telephone | 6315486000 |
| Mailing Fax Number | 6315486397 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | AMY GWINN (AVP REVENUE CYCLE) |
| Authorized Official Telephone | 6315486116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 5155601 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00274328 | 05 | |
| NY | BLUE CROSS | 000250-7 | 01 |
| Other Name | Type Code |
|---|---|
| Peconic Bay Home Health | Doing Business As Name - Organization |
| Peconic Bay Medical Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 755 New York Ave Ste 100, Huntington, NY 117434240 | 6315486432 | 6315486435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649804 | Central Suffolk Hospital | General Acute Care Hospital | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2005-06-21 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
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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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518309483 | Helping Hands Home Healthcare | Home Health | 14 Van Houten St, Riverhead, NY 11901-3932 | 2013-07-21 |
| 1235458035 | Qc - Medi New York, Inc. | Home Health | 877 E Main St, Riverhead, NY 11901-2521 | 2010-05-19 |
| 1467664540 | Supportive Independent Living Corp | Home Health | 31 Main Road, Suite 9, Riverhead, NY 11901 | 2007-05-03 |
| 1346618972 | Live By Faith Personal Care Services | Home Health | 1750 W Main St, S14, Riverhead, NY 11901-3100 | 2015-09-14 |
| 1336526870 | Marina Homecare Agency of Ny, Inc. | Home Health | 31 Main Rd, Suite 9, Riverhead, NY 11901-1953 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972024 | Consortium Home Care Inc | Home Health | 16316 Northern Blvd Fl 2, Flushing, NY 11358-2645 | 2020-11-03 |
| 1679172100 | Amelia Home Care Inc. | Home Health | 3007 Ocean Pkwy Apt 1, Brooklyn, NY 11235-8053 | 2020-10-26 |
| 1164021887 | Preferred Certified, LLC | Home Health | 5223 Broadway, Bronx, NY 10463-7636 | 2020-10-23 |
| 1063010767 | 6677 Broadway LLC | Home Health | 140 Beach 119th St, Rockaway Park, NY 11694-1953 | 2020-10-14 |
| 1730787524 | Michele L Spinnichia | Home Health | 34 Blakeslee St, Rochester, NY 14609-2212 | 2020-10-13 |
| 1497353379 | Nuimage Wellness Services Inc | Home Health | 320 Wilson St Ste 2, West Hempstead, NY 11552-2019 | 2020-10-13 |
| 1124626312 | Julienne E Corp | Home Health | 1468 E 100th St, Brooklyn, NY 11236-5521 | 2020-10-12 |
| 1821695834 | Rymax Electronics Inc | Home Health | 1805 5th Ave Ste F, Bay Shore, NY 11706-1761 | 2020-10-02 |
| 1003421074 | Massagebywen Pllc | Home Health | 24028 Memphis Ave, Rosedale, NY 11422-2017 | 2020-09-15 |
| 1679188056 | Anchor Home Care, LLC | Home Health | 50 Lakefront Boulevard Suite 200, Buffalo, NY 14202-4301 | 2020-09-11 |
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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.