NPIMap

Organization Active NPI

CS Medical Associates, P.C.

Doing business as Victory Recovery Partners

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Riverhead, NY
National Provider Identifier
1043873417
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CS MEDICAL ASSOCIATES, P.C.
Doing business as
Victory Recovery Partners
Practice address
1228 E Main St Ste a
Riverhead, NY 11901-2677
Phone
(631) 696-4357
Fax
(631) 846-8138
NPI assigned
Apr 20, 2019
Last updated
Apr 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CS MEDICAL ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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

Authorized official

Name
Paolo Coppola, MD
Title
Owner
Phone
(631) 696-4357

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X NU

Addresses

Primary practice location

1228 E Main St Ste a
Riverhead, NY 11901-2677

Mailing address

100 Granny Rd Ste 1
Farmingville, NY 11738-2879
Phone (631) 696-4357

Other names 1

  • Victory Recovery Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CS Medical Associates PC8 organizations share this tax ID, including this one
Part of
CS Medical Associates PC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

5100 Sunrise Hwy
Fl 2
Massapequa Park, NY 11762
Phone (516) 205-6714

1228 E Main St
Ste A
Riverhead, NY 11901
Phone 63169643572

2 Coraci Blvd
Ste 16
Shirley, NY 11967

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586044800000",
    "number": "1043873417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRANNY RD STE 1",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382879",
            "telephone_number": "631-696-4357",
            "fax_number": "631-846-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E MAIN ST STE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012677",
            "telephone_number": "631-696-4357",
            "fax_number": "631-846-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CS MEDICAL ASSOCIATES, P.C.",
        "enumeration_date": "2019-04-20",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "PAOLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-696-4357",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Recovery Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victory Recovery Partners",
            "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 Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.