NPIMap

Organization Active NPI

Suffolk County Dohs Jail Medical Unit

  • Health Service Clinic/Center
  • Riverhead, NY
National Provider Identifier
1386964492
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
F301351-1 Issued in NY
Legal business name
SUFFOLK COUNTY DOHS JAIL MEDICAL UNIT
Practice address
100 Center Dr
Riverhead, NY 11901-3307
Phone
(631) 852-1987
NPI assigned
Jun 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Dr. Vincent Geraci, D.O.
Title
Medical Director
Phone
(631) 852-1869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X F301351-1 NY Primary

Addresses

Primary practice location

100 Center Dr
Riverhead, NY 11901-3307

Mailing address

100 Center Dr
Riverhead, NY 11901-3307
Phone (631) 852-1987

National Provider Directory

National Provider Directory
Tax ID family
Anjumon a Amin17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1386964492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013307",
            "telephone_number": "631-852-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013307",
            "telephone_number": "631-852-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK COUNTY DOHS JAIL MEDICAL UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "GERACI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-852-1869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "F301351-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.