Organization Active NPI

Suffolk Surgery PLLC

  • Surgery Physician
  • Commack, NY
National Provider Identifier
1376364455
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SUFFOLK SURGERY PLLC
Practice address
356 Veteran Memorial Highway, Suite 5
Commack, NY 11725
Phone
(631) 209-7080
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Michael Orloff, MDNPI 1831543446
Title
Owner
Phone
(631) 209-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

356 Veteran Memorial Highway, Suite 5
Commack, NY 11725

Mailing address

32 Clayton Dr
Dix Hills,, NY 11746
Phone (631) 209-7080

Other practice location 1

150 Sunrise Hwy Ste 101
Lindenhurst, NY 11757-2502
Phone (631) 209-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223000875 NY Part B Supplier - Clinic/Group Practice 0749717247 Receives reassigned benefits from 1 practitioner
Practice locations: Lindenhurst, NY; Commack, NY

National Provider Directory

National Provider Directory

Locations

365 Veterans Memorial Hwy
Ste 5
Commack, NY 11725

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1376364455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CLAYTON DR",
            "city": "DIX HILLS,",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-209-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 VETERAN MEMORIAL HIGHWAY, SUITE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-209-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Sunrise Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lindenhurst",
            "state": "NY",
            "postal_code": "117572502",
            "country_code": "US",
            "telephone_number": "631-209-7080",
            "fax_number": "631-240-0926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUFFOLK SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "ORLOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-209-7080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.