Organization Active NPI

Suffolk Critical Care Associates, LLP

  • Critical Care Medicine (Internal Medicine) Physician
  • Port Jefferson, NY
National Provider Identifier
1265711071
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
138372 Issued in NY
Legal business name
SUFFOLK CRITICAL CARE ASSOCIATES, LLP
Practice address
60 N Country Rd
Suite 203
Port Jefferson, NY 11777-2188
Phone
(631) 509-1888
Fax
(631) 509-1893
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Morton Glaser, M.D.
Title
Partner
Phone
(631) 509-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X 138372 NY Primary

Addresses

Primary practice location

60 N Country Rd
Suite 203
Port Jefferson, NY 11777-2188

Mailing address

60 N Country Rd
Suite 203
Port Jefferson, NY 11777-2188
Phone (631) 509-1888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1265711071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "SUITE 203",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-509-1888",
            "fax_number": "631-509-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "SUITE 203",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-509-1888",
            "fax_number": "631-509-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK CRITICAL CARE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "MORTON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-509-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "138372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.