NPIMap

Organization Active NPI

Suffolk County Correctional Facility

  • Health Service Clinic/Center
  • Riverhead, NY
National Provider Identifier
1003232091
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
301585 Issued in NY
Legal business name
SUFFOLK COUNTY CORRECTIONAL FACILITY
Practice address
100 Center Dr
Jail Medical
Riverhead, NY 11901-3307
Phone
(631) 852-2976
Fax
(631) 852-3966
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maureen Crowly, M.D.
Title
Director
Phone
(631) 852-2976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 301585 NY Primary

Addresses

Primary practice location

100 Center Dr
Jail Medical
Riverhead, NY 11901-3307

Mailing address

100 Center Dr
Jail Medical
Riverhead, NY 11901-3307
Phone (631) 852-2976

Other names 1

  • department of health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0954126Suffolk County Correctional Facility Max100 Center Drive, Riverhead, NY 11901Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1003232091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTER DR",
            "address_2": "JAIL MEDICAL",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013307",
            "telephone_number": "631-852-2976",
            "fax_number": "631-852-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTER DR",
            "address_2": "JAIL MEDICAL",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013307",
            "telephone_number": "631-852-2976",
            "fax_number": "631-852-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK COUNTY CORRECTIONAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "CROWLY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-852-2976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "301585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "department of health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.