NPIMap

Organization Active NPI

Suffolk Primary Health, LLC

  • Primary Care Clinic/Center
  • Riverhead, NY
National Provider Identifier
1174965727
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5155205R Issued in NY
Legal business name
SUFFOLK PRIMARY HEALTH, LLC
Practice address
170 Old Country Rd
Riverhead, NY 11901-2198
Phone
(631) 208-4460
Fax
(631) 208-4462
NPI assigned
Jul 24, 2013
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Mr. Matisyahu Swerdloff
Title
Ceo
Phone
(631) 208-4460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X 5155205R NY Primary

Addresses

Primary practice location

170 Old Country Rd
Riverhead, NY 11901-2198

Mailing address

5308 13TH Ave Ste 334
Brooklyn, NY 11219-5198
Phone (631) 208-4460

Other practice location 1

135 Main St
Hempstead, NY 11550-2414
Phone (631) 208-4460

Other practice location 2

18420 Union Tpke
Fresh Meadows, NY 11366-1730
Phone (646) 453-0219

Other practice location 3

561 Burnside Ave
Inwood, NY 11096-1300
Phone (631) 208-4460

Other identifiers 2

IdentifierTypeStateIssuer
5155205ROtherNYNYS DOH OPCERT
6361OtherNYNYS FACILITY ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170808002088 NY Part B Supplier - Clinic/Group Practice 9436420510 Receives reassigned benefits from 35 practitioners
Practice locations: Hempstead, NY; Riverhead, NY

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
33D2137930Suffolk Primary Health LLC170 Old Country Road, Riverhead, NY 11901Certificate of waiverMar 26, 2027
33D2317711Suffolk Primary Health LLC135 Main Street, Hempstead, NY 11550Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

5308 13th Ave
Ste 334
Brooklyn, NY 11219

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD

Practitioners & affiliated clinicians

Practitioners 54

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 54

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1174965727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 13TH AVE STE 334",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195198",
            "telephone_number": "631-208-4460",
            "fax_number": "631-208-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012198",
            "telephone_number": "631-208-4460",
            "fax_number": "631-208-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Main St",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115502414",
            "country_code": "US",
            "telephone_number": "631-208-4460",
            "fax_number": "631-208-4462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18420 Union Tpke",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113661730",
            "country_code": "US",
            "telephone_number": "646-453-0219",
            "fax_number": "646-699-1520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 Burnside Ave",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "NY",
            "postal_code": "110961300",
            "country_code": "US",
            "telephone_number": "631-208-4460",
            "fax_number": "718-868-2270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUFFOLK PRIMARY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "SWERDLOFF",
        "authorized_official_first_name": "MATISYAHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-208-4460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "5155205R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DOH OPCERT",
            "identifier": "5155205R",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS FACILITY ID",
            "identifier": "6361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.