Individual provider Active NPI

Sathish Jay Subbaiah, M.D.

  • Neurological Surgery Physician
  • Lake Grove, NY
National Provider Identifier
1598932162
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
247982 Issued in NY
Practice address
3070 Middle Country Road
Suite 1
Lake Grove, NY 11755
Phone
(631) 247-7463
Fax
(631) 532-4911
NPI assigned
May 13, 2008
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 247982 NY Primary
Neurological Surgery Physician 207T00000X 207T00000X MA

Addresses

Primary practice location

3070 Middle Country Road
Suite 1
Lake Grove, NY 11755

Mailing address

1188 Willis Ave # 227
Albertson, NY 11507-1229
Phone (631) 247-7463

Other practice location 1

139 Plandome Rd
Manhasset, NY 11030-2331
Phone (631) 247-7463

Other practice location 2

994 W Jericho Tpke Ste 202
Smithtown, NY 11787-3234
Phone (631) 247-7463

Other practice location 3

196 E Main St
Patchogue, NY 11772-3159
Phone (631) 247-7463

Other practice location 4

70 N Country Rd Ste 302
Port Jefferson, NY 11777-2161
Phone (631) 247-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000241 NY Practitioner - Neurosurgery 2567518129 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207T00000XMAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Feb 12, 2024 Accepting new patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC CurrentSince Jun 20, 2019 Accepting new patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC CurrentSince Jun 20, 2019 Accepting new patients
Orthopedic Associates of Long Island LLP CurrentSince Jun 27, 2011 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, PC CurrentSince Feb 12, 2024 Accepting new patients
Morgan N. Chen M.D. P.C. Past Accepting new patients

Locations

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685

55 Medford Ave
Unit E
Patchogue, NY 11772
Phone (631) 687-4190

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sathishsubbaiah@oali.ssdirect.aprima.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1598932162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 WILLIS AVE # 227",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071229",
            "telephone_number": "631-247-7463",
            "fax_number": "631-532-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 MIDDLE COUNTRY ROAD",
            "address_2": "SUITE 1",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "11755",
            "telephone_number": "631-247-7463",
            "fax_number": "631-532-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Plandome Rd",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110302331",
            "country_code": "US",
            "telephone_number": "631-247-7463",
            "fax_number": "631-532-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "994 W Jericho Tpke Ste 202",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873234",
            "country_code": "US",
            "telephone_number": "631-247-7463",
            "fax_number": "631-532-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "196 E Main St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723159",
            "country_code": "US",
            "telephone_number": "631-247-7463",
            "fax_number": "631-532-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Country Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772161",
            "country_code": "US",
            "telephone_number": "631-247-7463",
            "fax_number": "631-532-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBBAIAH",
        "first_name": "SATHISH",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "247982",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "207T00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Grove, NY

Sources for this page

Verify at the official NPI Registry.