Suffolk Nephrology Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUFFOLK NEPHROLOGY ASSOCIATES, PC

Practice address

340 Howells Rd
Suite a
Bay Shore, NY 11706-5322

Phone

(631) 666-2808

Fax

(631) 666-3097

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Katherine Rapp

Title

Office Manager

Phone

(631) 666-2808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph T Barbato, D.O.

  • Nephrology Physician
  • Bay Shore, NY
  • NPI 1184725236

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Stephen R Bernhardt, M.D.

  • Nephrology Physician
  • Bay Shore, NY
  • NPI 1851492904

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• William M Frank, M.D.

  • Nephrology Physician
  • Bay Shore, NY
  • NPI 1972604007

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Sudhir Goyal, M.D.

  • Nephrology Physician
  • Bay Shore, NY
  • NPI 1356442495

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Max Ricardo Pommier Jr., D.O.

  • Nephrology Physician
  • Bay Shore, NY
  • NPI 1194010579
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1255501045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD",
            "address_2": "SUITE A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065322",
            "telephone_number": "631-666-2808",
            "fax_number": "631-666-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD",
            "address_2": "SUITE A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065322",
            "telephone_number": "631-666-2808",
            "fax_number": "631-666-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK NEPHROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-666-2808"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Strafford, COTA/L
• Michael Streiter, M.D.
• Tida Stricoff-Calma, LCSW
• Colleen Stubbs
• Kim Sudama
• Suffolk Ophthalmology Associates PC
• Suffolk Orthopaedic Associates PC
• Suffolk Surgical Associates PC
• Suffolk Urology Associates, P.C.
• Joshua Navindra Suknanan, BSN, RN, CWCN

• Internal Medicine Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.