County of Suffolk

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

060910393 Issued in NY

Legal business name

COUNTY OF SUFFOLK

Practice address

300 Center Dr
Riverhead, NY 11901-3393

Phone

(631) 852-2680

Fax

(631) 852-2674

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregson Pigott

Title

Commissioner

Phone

(631) 854-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• METHADONE MAINTENANCE CLINIC Other name

Medicare fee-for-service enrollment

Enrolled in NY

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Suffolk

  dba Suffolk County Department of Health Services

  • Public Health or Welfare Agency
  • Great River, NY
  • NPI 1285750737

  2264344316

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Suffolk

  • Methadone Clinic
  • Smithtown, NY
  • NPI 1649374851

  O20260127002948

  Same enrollment
• County of Suffolk

  • Methadone Clinic
  • Hauppauge, NY
  • NPI 1669574547

  O20260127002948

  Same enrollment

Practitioners 2

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

• Anthonette Rosemarie Desire, M.D.

  • Internal Medicine Physician
  • Bellport, NY
  • NPI 1548392590
  NPD
• Antoinette D Moore-Thomas, FNP -BC

  • Family Nurse Practitioner
  • Syosset, NY
  • NPI 1104244128
  NPD

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1386748598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SUNRISE HWY",
            "address_2": "SUITE 124, PO BOX 9006",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117391001",
            "telephone_number": "631-854-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013393",
            "telephone_number": "631-852-2680",
            "fax_number": "631-852-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SUFFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "PIGOTT",
        "authorized_official_first_name": "GREGSON",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "631-854-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NY",
            "license": "060910393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METHADONE MAINTENANCE CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "METHADONE MAINTENANCE CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Costco Wholesale Corporation (Costco Pharmacy #785)
• Costco Wholesale Corporation (Costco Optical #785)
• Joanne Elizabeth Cotrone, RPA-C
• Kathleen Couden, CRNA
• County of Suffolk (Riverhead Health Center)
• Nicole Courtenay, PA
• Joseph Cowley
• Kara Elizabeth Crawford, PNP
• Kristin Louise Creamer-Williamson, LMSW
• John M Crean, M.D.

• Methadone Clinic in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Methadone Clinic in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.