Organization Active NPI

North Suffolk Medical Associates, P.C.

  • Primary Care Clinic/Center
  • Smithtown, NY
National Provider Identifier
1639216476
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NORTH SUFFOLK MEDICAL ASSOCIATES, P.C.
Practice address
50 Karl Ave Ste 301
Smithtown, NY 11787-2744
Phone
(631) 239-1677
Fax
(631) 724-3967
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Ms. Jean Piotrowski
Title
Medical Biller
Phone
(631) 239-1677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X 183593 NY
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

50 Karl Ave Ste 301
Smithtown, NY 11787-2744

Mailing address

50 Karl Ave Ste 301
Smithtown, NY 11787-2744
Phone (631) 239-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110715000153 NY Part B Supplier - Clinic/Group Practice 6608767041 Receives reassigned benefits from 2 practitioners
Practice locations: Northport, NY

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
33D2006192North Suffolk Medical Associates PC50 Karl Avenue, Suite 301, Smithtown, NY 11787Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

Locations

1019 Fort Salonga Rd
Ste 101
Northport, NY 11768
Phone (516) 262-1314

Practitioners & affiliated clinicians

Practitioners 2

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1639216476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KARL AVE STE 301",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872744",
            "telephone_number": "631-239-1677",
            "fax_number": "631-724-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 KARL AVE STE 301",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872744",
            "telephone_number": "631-239-1677",
            "fax_number": "631-724-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUFFOLK MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "PIOTROWSKI",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "631-239-1677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NY",
            "license": "183593",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.