Active NPI
Concierge Medicine of New York PC
- Orthopaedic Surgery of the Spine Physician
- Lake Grove, NY
National Provider Identifier
1891609558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- CONCIERGE MEDICINE OF NEW YORK PC
- Practice address
- 3070 Middle Country Road
Suite 1
Lake Grove, NY 11507 - Phone
- (631) 247-7463
- Fax
- (631) 532-4911
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sathish J Subbaiah, MD
- Title
- President
- Phone
- (631) 372-5771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | ||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | NU | Primary |
Addresses
Primary practice location
3070 Middle Country Road
Suite 1
Lake Grove, NY 11507
Mailing address
1188 Willis Ave # 227
Albertson, NY 11507-1229
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Neurological Surgery Physician
- Lake Grove, NY
- NPI 1598932162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1891609558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 WILLIS AVE # 227",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 MIDDLE COUNTRY ROAD",
"address_2": "SUITE 1",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "11507",
"telephone_number": "631-247-7463",
"fax_number": "631-532-4911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCIERGE MEDICINE OF NEW YORK PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "SUBBAIAH",
"authorized_official_first_name": "SATHISH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-372-5771",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.