NPIMap

Organization Active NPI

Suffolk Anesthesia Services PLLC

  • Anesthesiology Physician
  • West Islip, NY
National Provider Identifier
1871869305
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SUFFOLK ANESTHESIA SERVICES PLLC
Practice address
471 Montauk Hwy
West Islip, NY 11795-4414
Phone
(631) 849-1050
Fax
(631) 849-1052
NPI assigned
Mar 29, 2012
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Brian Cook, MDNPI 1972509990
Title
Partner
Phone
(631) 849-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

471 Montauk Hwy
West Islip, NY 11795-4414

Mailing address

PO Box 2448
Lexington, SC 29071-2448
Phone (631) 849-1050

Other identifiers 1

IdentifierTypeStateIssuer
A100085823OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130514000209 NY Part B Supplier - Clinic/Group Practice 2567609464 Receives reassigned benefits from 13 practitioners
Practice locations: West Islip, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1871869305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2448",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290712448",
            "telephone_number": "631-849-1050",
            "fax_number": "803-520-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954414",
            "telephone_number": "631-849-1050",
            "fax_number": "631-849-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-849-1050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100085823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.