NPIMap

Organization Active NPI

Suffolk Medical PC

  • Family Medicine Physician
  • Central Islip, NY
National Provider Identifier
1588094288
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
215692-1 Issued in NY
Legal business name
SUFFOLK MEDICAL PC
Practice address
45 W Suffolk Ave
2ND Floor
Central Islip, NY 11722-2156
Phone
(631) 415-4385
Fax
(631) 761-5966
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Dr. David Sanchez, M.D.NPI 1528001260
Title
Owner
Phone
(631) 415-4385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 215692-1 NY Primary

Addresses

Primary practice location

45 W Suffolk Ave
2ND Floor
Central Islip, NY 11722-2156

Mailing address

45 W Suffolk Ave
2ND Floor
Central Islip, NY 11722-2156
Phone (631) 415-4385

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1588094288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W SUFFOLK AVE",
            "address_2": "2ND FLOOR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222156",
            "telephone_number": "631-415-4385",
            "fax_number": "631-761-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W SUFFOLK AVE",
            "address_2": "2ND FLOOR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222156",
            "telephone_number": "631-415-4385",
            "fax_number": "631-761-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-415-4385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215692-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.