Organization Active NPI

Suffolk Ambulatory Surgery, PLLC

  • Ambulatory Surgical Clinic/Center
  • East Setauket, NY
National Provider Identifier
1619284650
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
050722 Issued in NY
Legal business name
SUFFOLK AMBULATORY SURGERY, PLLC
Practice address
179 N Belle Mead Rd
Suite 3
East Setauket, NY 11733-3528
Phone
(631) 751-4400
Fax
(631) 689-2375
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. Hilton C Adler, MD
Title
Owner/President
Phone
(631) 751-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 050722 NY Primary

Addresses

Primary practice location

179 N Belle Mead Rd
Suite 3
East Setauket, NY 11733-3528

Mailing address

179 N Belle Mead Rd
Suite 3
East Setauket, NY 11733-3528
Phone (631) 751-4400

Other identifiers 1

IdentifierTypeStateIssuer
050722OtherNYNYS OFFICE OF PROFESSIONS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2335762Suffolk Ambulatory Surgery, PLLC179 Belle Mead Rd, East Setauket, NY 11733Certificate of waiverDec 16, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1619284650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 N BELLE MEAD RD",
            "address_2": "SUITE 3",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333528",
            "telephone_number": "631-751-4400",
            "fax_number": "631-689-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N BELLE MEAD RD",
            "address_2": "SUITE 3",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333528",
            "telephone_number": "631-751-4400",
            "fax_number": "631-689-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK AMBULATORY SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "HILTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-751-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "050722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OFFICE OF PROFESSIONS",
            "identifier": "050722",
            "state": "NY"
        }
    ],
    "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 Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.