North Suffolk Neurology, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

242921 Issued in NY

Legal business name

NORTH SUFFOLK NEUROLOGY, PC

Practice address

5 Medical Dr
Port Jefferson Station, NY 11776-1601

Phone

(631) 364-9119

Fax

(631) 364-9118

NPI assigned

Dec 22, 2014

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Warren Daniel Spinner, D.O.NPI 1164617544

Title

Chief Executive Officer/Med. Dir.

Phone

(631) 942-2516

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Warren Daniel Spinner, D.O.

  • Neurology Physician
  • Port Jefferson Station, NY
  • NPI 1164617544
  Authorized official Same address or phone
• James Dominick Bruno, M.D.

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1750436879
  NPD (past)

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1316335540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761601",
            "telephone_number": "631-364-9119",
            "fax_number": "631-364-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761601",
            "telephone_number": "631-364-9119",
            "fax_number": "631-364-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUFFOLK NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "SPINNER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/MED. DIR.",
        "authorized_official_telephone_number": "631-942-2516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "242921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Hematology/Oncology Associates PC (New York Cancer & Blood Specialists)
• North Shore Hematology/Oncology Associates PC (NY Imagining Specialists)
• North Shore Immediate Medical Care P.C.
• North Shore Internal Medicine, PC
• North Shore Urology, LLP
• Northeastern Thoracic Surgery, PLLC
• Samantha Nosenchuk, LMSW
• Jenna Novella
• Raquel Nugent
• Christine Nwaiser

• Medical Specialty Clinic/Center in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.