Mid-Suffolk Pediatric Associates, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MID-SUFFOLK PEDIATRIC ASSOCIATES, P.C.

Practice address

1770 Motor Pkwy
Islandia, NY 11749-5260

Phone

(631) 434-1770

Fax

(631) 232-3481

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Burgess

Title

Administrator

Phone

(631) 434-1770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1891886594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 MOTOR PKWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495260",
            "telephone_number": "631-434-1770",
            "fax_number": "631-232-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MOTOR PKWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495260",
            "telephone_number": "631-434-1770",
            "fax_number": "631-232-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SUFFOLK PEDIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-434-1770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Merrell
• Metropolitan Medical Transportation Ipa, LLC
• Metropolitan Urological Specialist
• Michele Rubin MD,PC.
• Mid-Suffolk Chiropractic P.C.
• Constantina Miller, PSY.D.
• Martin Miller, DC
• Julie Modavis, LCSW
• Montauk Medical Testing Services PC
• Ana Eulalia Morales

• Pediatrics Physician in Islandia, NY
• Providers in Islandia, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.