Individual provider Active NPI

Carl L Pillitteri, M.D.

  • Obstetrics Physician
  • Port Jefferson, NY
National Provider Identifier
1295897346
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
194263 Issued in NY
Practice address
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone
(631) 474-6000
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 016898 ME
Obstetrics Physician 207VX0000X 194263 NY Primary

Addresses

Primary practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Mailing address

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151001001209 MA Practitioner - Obstetrics/Gynecology 4789604083 Reassigns benefits to 1 organization
I20170202000446 NY Practitioner - Obstetrics/Gynecology 4789604083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OBGYN Hospitalist Medical Services of New York PCGroup PAC ID 9830379759, 12 clinicians
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (864) 908-3530

300 Ctr Dr
Riverhead, NY 11901-3393
Phone (631) 574-2580

3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016898MEMDObstetrics & Gynecology Physician
194263NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince May 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 7, 2015 Accepting new patients
Sun River Health Inc Current Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 7, 2015 Accepting new patients
Sun River Health Inc. CurrentSince Dec 17, 2016 Accepting new patients
Central Suffolk Hospital Past Accepting new patients
Waldo County General Hospital Past Accepting new patients
County of Suffolk Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

62 Brown St
#507
Haverhill, MA 01830
Phone (978) 722-7818

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

675 Paramount Dr
Ste 301
Raynham, MA 02767
Phone (508) 821-5671

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

1080 Sunrise Hwy
Amityville, NY 11701
Phone (631) 716-9026

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cpillitteri67477@northwell.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1295897346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLITTERI",
        "first_name": "CARL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "016898",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "194263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.