Active NPI
Suffolk Surgical Associates PC
- Specialist
- Bay Shore, NY
National Provider Identifier
1922265354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SUFFOLK SURGICAL ASSOCIATES PC
- Practice address
- 10 Brentwood Rd
Suite 1
Bay Shore, NY 11706-8011 - Phone
- (631) 665-8200
- Fax
- (631) 665-8914
- NPI assigned
- May 22, 2008
- Last updated
- Aug 2, 2013
- 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
- Mrs. Christine L Spinks
- Title
- Office Manager
- Phone
- (631) 665-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
10 Brentwood Rd
Suite 1
Bay Shore, NY 11706-8011
Mailing address
10 Brentwood Rd
Suite 1
Bay Shore, NY 11706-8011
Phone (631) 665-8200
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2292761 | Suffolk Surgical Associates | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375401600000",
"number": "1922265354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BRENTWOOD RD",
"address_2": "SUITE 1",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068011",
"telephone_number": "631-665-8200",
"fax_number": "631-665-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BRENTWOOD RD",
"address_2": "SUITE 1",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068011",
"telephone_number": "631-665-8200",
"fax_number": "631-665-8914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUFFOLK SURGICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2013-08-02",
"status": "A",
"authorized_official_last_name": "SPINKS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-665-8200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.