Active NPI
Suffolk Internal Medicine Assoc
- Infectious Disease Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- SUFFOLK INTERNAL MEDICINE ASSOC
- Practice address
- 500 Montauk Hwy
Suite S
West Islip, NY 11795-4418 - Phone
- (631) 587-7733
- NPI assigned
- May 9, 2007
- Last updated
- Mar 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Samuels
- Title
- President
- Phone
- (631) 587-7733
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
500 Montauk Hwy
Suite S
West Islip, NY 11795-4418
Mailing address
500 Montauk Hwy
Suite S
West Islip, NY 11795-4418
National Provider Directory
National Provider DirectoryLocations
500 Montauk Hwy
Ste S
West Islip, NY 11795
Phone (631) 587-7733
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1790783280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1235343591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MONTAUK HWY",
"address_2": "SUITE S",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MONTAUK HWY",
"address_2": "SUITE S",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954418",
"telephone_number": "631-587-7733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUFFOLK INTERNAL MEDICINE ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "SAMUELS",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-587-7733"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.