Organization Active NPI

Suarez Family Medicine PLLC

  • Family Medicine Physician
  • Freeport, NY
National Provider Identifier
1972339851
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUAREZ FAMILY MEDICINE PLLC
Practice address
72 Guy Lombardo Ave Ste 1
Freeport, NY 11520-3742
Phone
(516) 377-2727
Fax
(516) 377-8088
NPI assigned
Sep 9, 2024
Organization subpart
Yes
Parent organization
SERGIO G. SUAREZ PHYSICIAN PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Dr. Diego Hernan Suarez, MDNPI 1427460252
Title
Sole MBR
Phone
(516) 377-2727

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

72 Guy Lombardo Ave Ste 1
Freeport, NY 11520-3742

Mailing address

72 Guy Lombardo Ave Ste 1
Freeport, NY 11520-3742
Phone (516) 377-2727

Other names 1

  • Sergio G. Suarez Physician PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250409001156 NY Part B Supplier - Clinic/Group Practice 5991229163 Receives reassigned benefits from 1 practitioner
Practice locations: Freeport, NY

National Provider Directory

National Provider Directory
Part of
Sergio G Suarez Physician P

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1972339851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 GUY LOMBARDO AVE STE 1",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203742",
            "telephone_number": "516-377-2727",
            "fax_number": "516-377-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 GUY LOMBARDO AVE STE 1",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203742",
            "telephone_number": "516-377-2727",
            "fax_number": "516-377-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUAREZ FAMILY MEDICINE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERGIO G. SUAREZ PHYSICIAN PC",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "HERNAN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "516-377-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sergio G. Suarez Physician PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.