Organization Active NPI

Eastern Medical Care of Suffolk County, P.C.

  • Primary Care Clinic/Center
  • Stony Brook, NY
National Provider Identifier
1851570196
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EASTERN MEDICAL CARE OF SUFFOLK COUNTY, P.C.
Practice address
215 Hallock Rd Ste 3a
Stony Brook, NY 11790-3077
Phone
(631) 689-8889
Fax
(631) 689-8882
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Sandy Soon-Lin
Title
Office Manager
Phone
(631) 689-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

215 Hallock Rd Ste 3a
Stony Brook, NY 11790-3077

Mailing address

215 Hallock Rd Ste 3a
Stony Brook, NY 11790-3077
Phone (631) 689-8889

National Provider Directory

National Provider Directory

Locations

475 E Main St
Ste 110
Patchogue, NY 11772
Phone (631) 447-9777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1851570196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HALLOCK RD STE 3A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903077",
            "telephone_number": "631-689-8889",
            "fax_number": "631-689-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HALLOCK RD STE 3A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903077",
            "telephone_number": "631-689-8889",
            "fax_number": "631-689-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MEDICAL CARE OF SUFFOLK COUNTY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SOON-LIN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-689-8889"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.