Organization Active NPI

Suffolk Pulmonary and Sleep Disorder, PC

  • Specialist
  • East Setauket, NY
National Provider Identifier
1518233287
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
214732 Issued in NY
Legal business name
SUFFOLK PULMONARY AND SLEEP DISORDER, PC
Practice address
3400 Nesconset Hwy
8 Technology Drive Suite 103
East Setauket, NY 11733-3327
Phone
(631) 675-9393
Fax
(631) 675-9391
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Mohamed T Sameen, MDNPI 1275577579
Title
Owner/Physician
Phone
(631) 675-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 214732 NY Primary
Sleep Specialist (PhD) 173F00000X 214732 NY

Addresses

Primary practice location

3400 Nesconset Hwy
8 Technology Drive Suite 103
East Setauket, NY 11733-3327

Mailing address

3400 Nesconset Hwy
8 Technology Drive Suite 103
East Setauket, NY 11733-3327
Phone (631) 675-9393

National Provider Directory

National Provider Directory
Tax ID family
Suffol Pulmonary and Sleep Disorders2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1518233287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "8 TECHNOLOGY DRIVE SUITE 103",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-675-9393",
            "fax_number": "631-675-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "8 TECHNOLOGY DRIVE SUITE 103",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-675-9393",
            "fax_number": "631-675-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK PULMONARY AND SLEEP DISORDER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "SAMEEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "631-675-9393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "214732",
            "primary": true
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "NY",
            "license": "214732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.