Active NPI
North Suffolk Medical Associates, P.C.
- Primary Care Clinic/Center
- Smithtown, NY
National Provider Identifier
1639216476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2006192 | North Suffolk Medical Associates PC | Certificate of waiver | Apr 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Smithtown, NY
- NPI 1376501296
-
- Internal Medicine Physician
- Northport, NY
- NPI 1417905696
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.