Active NPI
Suffolk Chest Physicians, LLP
- Pulmonary Disease Physician
- East Patchogue, NY
National Provider Identifier
1689731317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02556187 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.