Suffolk First Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUFFOLK FIRST MEDICAL, P.C.

Practice address

1235 Suffolk Ave
Brentwood, NY 11717-4511

Phone

(631) 436-7770

Fax

(631) 436-9003

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. In Ho Han, M.D.NPI 1740330356

Title

Owner

Phone

(631) 436-7770

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• In Ho Han, M.D.

  • Internal Medicine Physician
  • Brentwood, NY
  • NPI 1740330356
  Medicare reassignment Care Compare group NPD Authorized official
• Jiyoung Jeong Yang, ANP-C

  • Primary Care Nurse Practitioner
  • Flushing, NY
  • NPI 1053895904
  Medicare reassignment Care Compare group NPD
• Eunjoo Jeon

  • Primary Care Nurse Practitioner
  • Brentwood, NY
  • NPI 1518508274
  NPD
• Michael Francis Sommer, RPAC

  • Medical Physician Assistant
  • Brentwood, NY
  • NPI 1679715205
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1851403398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174511",
            "telephone_number": "631-436-7770",
            "fax_number": "631-436-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174511",
            "telephone_number": "631-436-7770",
            "fax_number": "631-436-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK FIRST MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "IN",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-436-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTIN",
            "identifier": "W14822",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051692",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua R Stockhausen, PA-C
• Strong Island Acupuncture and Chiropractic Associates PLLC
• Fatima Suarez, RN
• Shannyn Tierra Suarez, R.N.
• Suffolk County Dept of Health Services
• Suffolk Icm Program
• Suffolk Oral Surgery Associates LLP
• Chang Sam Suh, MD
• Adina Sullivan, RN
• Sun River Health Inc

• Internal Medicine Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.