Suffolk Nephrology Consultants PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SUFFOLK NEPHROLOGY CONSULTANTS PC

Practice address

2500 Route 347
BLDG 14a
Stony Brook, NY 11790-2555

Phone

(631) 689-7000

Fax

(631) 689-3016

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ekambaram Ilamathi, M.D.

Title

President

Phone

(631) 689-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508866492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ROUTE 347",
            "address_2": "BLDG 14A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-689-7000",
            "fax_number": "631-689-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROUTE 347",
            "address_2": "BLDG 14A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-689-7000",
            "fax_number": "631-689-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK NEPHROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ILAMATHI",
        "authorized_official_first_name": "EKAMBARAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-689-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02524330",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Strigaro
• Diana T Su, MD
• Hsiu P Su, MD
• Diego Yldebrando Suarez, MD
• Suffolk Medical Care, P.C.
• Suffolk Neurology & Neurophysiology PC
• James H Suh, MD
• John Anthony Sullivan, M.D.
• Rebeka Sultana, MD
• Eddy B Sun, MD

• Nephrology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.