Suffolk Surgical Group, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SUFFOLK SURGICAL GROUP, PC

Practice address

250 Patchogue Yaphank Rd
Suite #17
East Patchogue, NY 11772-4800

Phone

(631) 475-1013

Fax

(631) 475-1092

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Shayowitz

Title

Manager

Phone

(631) 475-1013

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Charles R Dennis, MD

  • Surgery Physician
  • Patchogue, NY
  • NPI 1578593786
  NPD (past)
• Christopher J Kaczmarski, M.D.

  • Surgery Physician
  • Nyack, NY
  • NPI 1205866225
  NPD (past)
• Paayal P Mehta, MD

  • Surgery Physician
  • Riverhead, NY
  • NPI 1114951613
  NPD (past)
• Richard B Rubenstein, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • East Patchogue, NY
  • NPI 1215961792
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1346306750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE #17",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-475-1013",
            "fax_number": "631-475-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE #17",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-475-1013",
            "fax_number": "631-475-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK SURGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SHAYOWITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-475-1013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02905686",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Alicia Stuart, OTR
• Marie A Suarez, RN
• Suffolk Cardiac Care PLLC
• Suffolk Chest Physicians, LLP
• Suffolk Surgical Group, PC
• Briana Sullivan, LMSW
• Marie Guerline Sully
• Sultana RX Corp. (Lighthouse Pharmacy)
• Sultana RX Corp.
• Sunrise RX LLC (Sunrise Pharmacy)

• Surgery Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.