North Suffolk Family Medical Care PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

211383 Issued in NY

Legal business name

NORTH SUFFOLK FAMILY MEDICAL CARE PLLC

Practice address

4 Technology Dr
Suite 210
East Setauket, NY 11733-4068

Phone

(631) 331-1506

Fax

(631) 331-1705

NPI assigned

Oct 25, 2007

Last updated

May 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Susan Schiller

Title

Administdrator

Phone

(631) 331-1506

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1174702229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 210",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334068",
            "telephone_number": "631-331-1506",
            "fax_number": "631-331-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 210",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334068",
            "telephone_number": "631-331-1506",
            "fax_number": "631-331-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUFFOLK FAMILY MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTDRATOR",
        "authorized_official_telephone_number": "631-331-1506",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "211383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Hematology Oncology Associates (north shore radiation oncology)
• North Shore Hematology Oncology Associates PC
• North Shore Therapeutic Massage P.C.
• North Suffolk Cardiology Associates
• North Suffolk Cardiology-Stony Brook Community Medical, PC
• Northeast Endoscopy LLC
• Northstar Medical Care PC
• Farzana Nuruzzaman, M.D.
• Sharon Noel Nustad, MA, CCC SLP
• Sean Kenneth O'Came, PA-C

• Adult Medicine Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.