NPIMap

Organization Active NPI

County of Suffolk

  • Methadone Clinic
  • Huntington Station, NY
National Provider Identifier
1891897781
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
050510394 Issued in NY
Legal business name
COUNTY OF SUFFOLK
Practice address
689 Jericho Tpke
Huntington Station, NY 11746-7501
Phone
(631) 854-4400
Fax
(631) 854-4411
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Dr. Gregson Pigott
Title
Commissioner
Phone
(631) 854-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 050510394 NY Primary

Addresses

Primary practice location

689 Jericho Tpke
Huntington Station, NY 11746-7501

Mailing address

3500 Sunrise Hwy
Suite 124, PO Box 9006
Great River, NY 11739-1001
Phone (631) 854-0100

Other identifiers 1

IdentifierTypeStateIssuer
00473170MedicaidNY

Other names 1

  • METHADONE MAINTENANCE CLINIC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1891897781",
    "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": "631-854-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467501",
            "telephone_number": "631-854-4400",
            "fax_number": "631-854-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SUFFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "PIGOTT",
        "authorized_official_first_name": "GREGSON",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "631-854-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NY",
            "license": "050510394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METHADONE MAINTENANCE CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "METHADONE MAINTENANCE CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.