NPIMap

CS Medical Associates, P.C.

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Farmingville, NY

NPI 1992210231 · NPPES record last updated Oct 27, 2025

Key facts

NPI
1992210231
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
CS MEDICAL ASSOCIATES, P.C.
Practice address
100 Granny Road
Suite 2
Farmingville, NY 11738
Phone
(631) 696-4357
NPI assigned
Dec 8, 2017
Organization subpart
No

Authorized official

Name
Paolo Coppola, MD NPI 1114970753
Title
Ceo
Phone
(631) 696-4357

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 128

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

View all 128

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY
Opioid treatment program
Medicare-enrolled since May 2, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180329000208 NY Part B Supplier - Clinic/Group Practice 9335401454 Receives reassigned benefits from 95 practitioners
1 other NPI on this enrollment
Practice locations: Hempstead, NY; Shirley, NY; Port Jefferson, NY; Massapequa Park, NY; Hicksville, NY; Farmingville, NY; Amityville, NY
O20221116000621 NY Part B Supplier - Opioid Treatment Program (Otp) 9335401454 Practice locations: Farmingville, NY; Hicksville, NY; Shirley, NY

National Provider Directory

Locations

1273 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 514-7952

240 Atlantic Ave
Brooklyn, NY 11201
Phone (718) 246-5437

100 Granny Rd
Ste 2
Farmingville, NY 11738

250 Fulton Ave
Ste 607
Hempstead, NY 11550

120 Bethpage Rd
Ste 100
Hicksville, NY 11801
Phone (516) 827-4500

1453 Northern Blvd
Manhasset, NY 11030

727 N Broadway
Ste B1
Massapequa, NY 11758
Phone (516) 797-4035

5100 Sunrise Hwy
Fl 2
Massapequa Park, NY 11762
Phone (516) 205-6714

600 Portion Rd
Ronkonkoma, NY 11779
Phone (631) 471-5900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QA0401X NY
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

100 Granny Road
Suite 2
Farmingville, NY 11738

Mailing address

100 Granny Rd Ste 1
Farmingville, NY 11738-2879
Phone (631) 696-4357

Other names

  • Victory Recovery Partners Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2025.

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1992210231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRANNY RD STE 1",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382879",
            "telephone_number": "631-696-4357",
            "fax_number": "631-846-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRANNY ROAD",
            "address_2": "SUITE 2",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "11738",
            "telephone_number": "631-696-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "PAOLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-696-4357",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Recovery Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmingville, NY

All providers in Farmingville, NY · Substance Use Disorder Rehabilitation Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.