Organization Active NPI

Suffolk Medical Care, P.C.

  • Primary Care Clinic/Center
  • Stony Brook, NY
National Provider Identifier
1548555493
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
248528 Issued in NY
Legal business name
SUFFOLK MEDICAL CARE, P.C.
Practice address
2500 Nesconset Hwy
BLDG 12-C
Stony Brook, NY 11790-2555
Phone
(631) 675-9555
Fax
(631) 675-9556
NPI assigned
Jun 17, 2011
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Dr. David Hoang Duong, M.D.
Title
President
Phone
(631) 487-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 248528 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy
BLDG 12-C
Stony Brook, NY 11790-2555

Mailing address

2500 Nesconset Hwy
BLDG 12-C
Stony Brook, NY 11790-2555
Phone (631) 675-9555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1548555493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 12-C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-675-9555",
            "fax_number": "631-675-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 12-C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-675-9555",
            "fax_number": "631-675-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-487-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "248528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.