Organization Active NPI

Suffolk Pulmonary Associates, LLP

  • Pulmonary Disease Physician
  • Port Jefferson, NY
National Provider Identifier
1669795563
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
165292 Issued in NY
Legal business name
SUFFOLK PULMONARY ASSOCIATES, LLP
Practice address
60 N Country Rd
Suite 203
Port Jefferson, NY 11777-2188
Phone
(631) 509-1888
Fax
(877) 434-7939
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Dr. Jay M Barbakoff, M.D.
Title
Partner
Phone
(631) 509-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 165292 NY Primary

Addresses

Primary practice location

60 N Country Rd
Suite 203
Port Jefferson, NY 11777-2188

Mailing address

60 N Country Rd
Suite 203
Port Jefferson, NY 11777-2188
Phone (631) 509-1888

Other names 1

  • North Shore Pulmonary Associates, LLP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1669795563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "SUITE 203",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-509-1888",
            "fax_number": "877-434-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "SUITE 203",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-509-1888",
            "fax_number": "877-434-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK PULMONARY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "BARBAKOFF",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-509-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "165292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Pulmonary Associates, LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.