SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC
NPI 1033362884
Psychiatry & Neurology - Neurology in Stony Brook, NY

Active since October 24, 2008
2500 NESCONSET HWY, SUITE 16A, STONY BROOK, NY 11790(631) 246-5454(631) 246-5902 Get Directions Write a Review

NPPES record last updated: October 24, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Suffolk Neurology & Neurophysiology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC (NPI 1033362884) is a healthcare organization registered as a neurology in Stony Brook, New York and active in the NPI registry since October 2008. The organization lists Suranganee Mary De Lanerolle, President, as its authorized official.

NPPES Registry Identity

NPI1033362884
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC
Location Address2500 NESCONSET HWY, SUITE 16AStony Brook, NY 11790-2555
Mailing Address2500 Nesconset Hwy, Suite 16aStony Brook, NY 11790-2555 · (631) 246-5454 · Fax (631) 246-5902
Fax(631) 246-5902
Organization SubpartNo
Authorized OfficialSuranganee Mary De LanerollePresident · (631) 246-5454
Enumeration DateOctober 24, 2008
✔ NPI 1033362884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
2500 NESCONSET HWY, Stony Brook, NY 11790

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suffolk Neurology & Neurophysiology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suffolk Neurology & Neurophysiology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1144302977
2500 NESCONSET HIGHWAY STONYBROOK MEDICAL PARK BLDG 16A
Stonybrook, NY 11790
(631) 246-5454
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suffolk Neurology & Neurophysiology PC's NPI number?

The NPI number for Suffolk Neurology & Neurophysiology PC is 1033362884. It was assigned to this organization in the NPPES registry on October 24, 2008.

Where is Suffolk Neurology & Neurophysiology PC located?

Suffolk Neurology & Neurophysiology PC is located at 2500 Nesconset Hwy Suite 16A, Stony Brook, NY 11790. The listed phone number is (631) 246-5454.

What is Suffolk Neurology & Neurophysiology PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Suffolk Neurology & Neurophysiology PC enrolled in Medicare?

Yes. Suffolk Neurology & Neurophysiology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suffolk Neurology & Neurophysiology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Suffolk Neurology & Neurophysiology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Suffolk Neurology & Neurophysiology PC was last updated on October 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.