NPIMap

Organization Active NPI

Peconic Bay Medical Center

  • General Acute Care Hospital
  • Riverhead, NY
National Provider Identifier
1841624756
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PECONIC BAY MEDICAL CENTER
Practice address
1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone
(631) 548-6446
NPI assigned
Aug 27, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
George E Ruggiero, D.O.
Title
Director Medical Education
Phone
(631) 548-6446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NY Primary

Addresses

Primary practice location

1300 Roanoke Ave
Riverhead, NY 11901-2031

Mailing address

54 Francesca LN
Staten Island, NY 10303-2101
Phone (917) 692-5604

National Provider Directory

National Provider Directory
Tax ID family
Suny Buffalo140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1841624756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FRANCESCA LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032101",
            "telephone_number": "917-692-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012031",
            "telephone_number": "631-548-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECONIC BAY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "RUGGIERO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR MEDICAL EDUCATION",
        "authorized_official_telephone_number": "631-548-6446",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.