NPIMap

County of Suffolk

A Medicare group practice based in Riverhead, NY: 15 NPIs enrolled under one PECOS associate control ID (PAC ID 2264344316), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264344316The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Opioid Treatment Program (Otp), Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
2
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040317000525 NY Part B Supplier - Clinic/Group Practice 1285750737
O20260127002948 NY Part A Provider - Opioid Treatment Program (Otp) 1386748598

NPIs in this group 15

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (8).

Sources for this page