NPIMap

Organization Active NPI

CS Medical Associates, P.C.

Doing business as Victory Recovery Partners

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Farmingville, NY
National Provider Identifier
1992210231
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CS MEDICAL ASSOCIATES, P.C.
Doing business as
Victory Recovery Partners
Practice address
100 Granny Road
Suite 2
Farmingville, NY 11738
Phone
(631) 696-4357
NPI assigned
Dec 8, 2017
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

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

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NY
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

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 1

  • Victory Recovery Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Opioid treatment program
Medicare-enrolled since May 2, 2024

Enrollment records 2

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

25311 Hillside Ave
Bellerose, NY 11426

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

240 Atlantic Ave
Brooklyn, NY 11201
Phone (516) 677-5437

100 Granny Rd
Ste 2
Farmingville, NY 11738

7020 Austin St
Forest Hills, NY 11375
Phone (631) 432-4765

250 Fulton Ave
Ste 607
Hempstead, NY 11550

1453 Northern Blvd
Manhasset, NY 11030

2 Coraci Blvd
Ste 15
Shirley, NY 11967
Phone (631) 315-2320

2 Coraci Blvd
Ste 1516
Shirley, NY 11967
Phone (631) 315-2320

2407 Richmond Ave
Staten Island, NY 10314
Phone (718) 698-5437

Practitioners & affiliated clinicians

Practitioners 128

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.

View all 128

NPI Registry JSON

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

{
    "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": "",
            "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.