Southwest Suffolk Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHWEST SUFFOLK MEDICAL PC

Doing business as

Samaritan Primary Care

Practice address

502 S Wellwood Ave
Lindenhurst, NY 11757-4925

Phone

(631) 226-8600

NPI assigned

Sep 23, 2013

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lorraine Hummel

Title

Director

Phone

(631) 465-6001

Specialties & licenses 1

Addresses

Other names 1

• Samaritan Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwest Suffolk Medical, P.C.

  • Surgical Oncology Physician
  • Smithtown, NY
  • NPI 1104096049

  O20090225000297

  Same enrollment
• Southwest Suffolk, P.C

  dba Siena Proactive Internal Medicine

  • Family Medicine Physician
  • Smithtown, NY
  • NPI 1730428467

  O20090225000297

  Same enrollment

Tax ID family

Samaritan Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest Suffolk, P.C

  dba Siena Proactive Internal Medicine

  • Family Medicine Physician
  • Smithtown, NY
  • NPI 1730428467
  NPD tax ID

Locations

Practitioners 318

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abbas Abedi

  • Student in an Organized Health Care Education/Training Program
  • Flushing, NY
  • NPI 1598409948
  NPD
• Goustina Adly, DO

  • Hospitalist Physician
  • Middletown, NY
  • NPI 1689051054
  NPD
• Anubhav Agarwal, MD

  • Sports Medicine (Family Medicine) Physician
  • Oceanside, NY
  • NPI 1568709244

  Multi-Specialty

  NPD
• Sunil Dutt Aggarwal, M.D

  • Internal Medicine Physician
  • Rockville Center, NY
  • NPI 1871518050
  NPD
• Jaffer Nooralam Ahmad, MD

  • Hospitalist Physician
  • East Meadow, NY
  • NPI 1518427988
  NPD
• Javaad Ahmad, M.D.

  • Neurology Physician
  • Babylon, NY
  • NPI 1467859082
  NPD
• Omar Syed Ahmad, MD

  • Internal Medicine Physician
  • Port Jefferson, NY
  • NPI 1043531254
  NPD
• Mohammad Alboushi Aldabagh, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1740787357
  NPD
• Renita Alexander, MD

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1124654033
  NPD
• Sterling Alexander, MD

  • Internal Medicine Physician
  • Huntington, NY
  • NPI 1063476901
  NPD
• Aleem Anthony Ali, M.D.

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1497076129
  NPD
• Bahadur Ali

  • Internal Medicine Physician
  • Southampton, NY
  • NPI 1033671649
  NPD

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1770919763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574925",
            "telephone_number": "631-226-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574925",
            "telephone_number": "631-226-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SUFFOLK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-465-6001"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne R. Smith, D.M.D.
• Erica Taylor Soccorso
• Nadia Jean Solomon, DC
• Carl Andrew Soranno, MD FAAP
• South Shore Medical Associates, PC
• Spahn Wellness Group Inc
• Bailey Spahn, LMT
• Brandon Martin Spahn, PT
• Speak Your Legacy Inc.
• Speak Your Legacy Inc.

• Family Medicine Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.