Organization Active NPI

Suffolk Chest Physicians, LLP

  • Pulmonary Disease Physician
  • East Patchogue, NY
National Provider Identifier
1689731317
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SUFFOLK CHEST PHYSICIANS, LLP
Practice address
285 Sills Rd
Building 7, Suite B
East Patchogue, NY 11772-4869
Phone
(631) 654-4577
Fax
(631) 654-3391
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Ms. Debra A Mulry, RN
Title
Office Manager
Phone
(631) 654-4577

Specialties & licenses 1

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

Addresses

Primary practice location

285 Sills Rd
Building 7, Suite B
East Patchogue, NY 11772-4869

Mailing address

285 Sills Rd
Building 7, Suite B
East Patchogue, NY 11772-4869
Phone (631) 654-4577

Other identifiers 1

IdentifierTypeStateIssuer
02556187MedicaidNY

National Provider Directory

National Provider Directory

Locations

285 Sills Rd
Bldg 7B
East Patchogue, NY 11772
Phone (631) 654-4577

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1689731317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BUILDING 7, SUITE B",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-654-4577",
            "fax_number": "631-654-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BUILDING 7, SUITE B",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-654-4577",
            "fax_number": "631-654-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK CHEST PHYSICIANS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "MULRY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-654-4577",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02556187",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.