NPIMap

Organization Active NPI

Suffolk Cty Dept of Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hauppauge, NY
National Provider Identifier
1871696724
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
050411034 Issued in NY
Legal business name
SUFFOLK CTY DEPT OF HEALTH SERVICES
Practice address
North County Complex
Building 16
Hauppauge, NY 11788
Phone
(631) 853-6281
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. James L Tomarken
Title
Commissioner
Phone
(631) 854-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 050411034 NY Primary

Addresses

Primary practice location

North County Complex
Building 16
Hauppauge, NY 11788

Mailing address

3500 Sunrise Hwy
Suite 124, PO Box 9006
Great River, NY 11739-1001
Phone (631) 854-0196

Other names 1

  • DAY RPTG CTR ALCOHOL Other name

National Provider Directory

National Provider Directory
Tax ID family
Anjumon a Amin17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1871696724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SUNRISE HWY",
            "address_2": "SUITE 124, PO BOX 9006",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117391001",
            "telephone_number": "631-854-0196",
            "fax_number": "631-854-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH COUNTY COMPLEX",
            "address_2": "BUILDING 16",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-853-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK CTY DEPT OF HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "TOMARKEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "631-854-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "050411034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAY RPTG CTR ALCOHOL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.