Suffolk OBGYN LLP

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SUFFOLK OBGYN LLP

Practice address

118 North Country Road
Port Jefferson, NY 11777

Phone

(631) 473-7171

Fax

(631) 473-4605

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Alex Sreter

Title

Practice Administration

Phone

(631) 473-7171

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1982790192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NORTH COUNTRY ROAD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-473-7171",
            "fax_number": "631-473-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NORTH COUNTRY ROAD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-473-7171",
            "fax_number": "631-473-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK OBGYN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "SRETER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATION",
        "authorized_official_telephone_number": "631-473-7171"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC3107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Stowell
• Samantha Stressler, LMSW
• Dennis Stephen Strittmatter, MD
• Nancy Strong
• Suffolk Critical Care Associates, LLP
• Suffolk Pulmonary Associates, LLP (North Shore Pulmonary Associates, LLP)
• Suffolk Speech-Language Pathology Ass. P.C. (Suffolk Speech and language Center)
• Suffolk Thoracic Surgery PC
• William Joseph Sullivan, COTA
• Susan Goryeb Simms, Licensed Clinical Social Worker, PC

• Obstetrics & Gynecology Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.