PECONIC BAY MEDICAL CENTER PROFESSIONAL GROUP PRACTICE
NPI 1043402050
Hospitalist in Riverhead, NY

Active since August 14, 2007
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 548-6116(631) 548-6007 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peconic Bay Medical Center Professional Group Practice NPPES

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

PECONIC BAY MEDICAL CENTER PROFESSIONAL GROUP PRACTICE (NPI 1043402050) is a healthcare organization registered as a hospitalist in Riverhead, New York and active in the NPI registry since August 2007. The organization lists Andrew Mitchell, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1043402050
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameCENTRAL SUFFOLK HOSPITAL
Location Address1300 ROANOKE AVERiverhead, NY 11901-2031
Mailing Address1300 Roanoke AveRiverhead, NY 11901-2031 · (631) 548-6116 · Fax (631) 548-6007
Fax(631) 548-6007
Organization SubpartNo
Authorized OfficialAndrew MitchellPresident/ceo · (631) 548-6064
Enumeration DateAugust 14, 2007
Last NPPES UpdateMarch 19, 2015
✔ NPI 1043402050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPhysician AssistantTaxonomy 363A00000X
1300 ROANOKE AVE, Riverhead, NY 11901

Other Names 1

Doing Business AsPeconic Bay Medical Center Professional Group Practice

Other Identifiers 1

Medicare PINCE0W708910NY

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)

Peconic Bay Medical Center Professional Group Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

134

Medicare enrollment records show 134 clinicians reassign Medicare billing to Peconic Bay Medical Center Professional Group Practice, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Internal Medicine35
Hospitalist32
Family Practice22
Nurse Practitioner18
Obstetrics/Gynecology5
Vascular Surgery5
Pulmonary Disease3
Critical Care (Intensivists)2
9 other specialties12

Nearest to this location (20)

See all 134
Hospitalist
NPI 1972127306
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 727-1600
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790247005
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 727-1600
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588818504
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104591437
1300 ROANOKE AVE
Riverhead, NY 11901
(516) 661-1721
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1366961054
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508171646
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 566-4003
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1366899221
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6446
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1891172722
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477857845
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 901-6330
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265852628
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1306424585
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851715007
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255645347
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1639529696
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6176
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1144332198
887 OLD COUNTRY RD SUITE A
Riverhead, NY 11901
(631) 727-6122
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1669486023
185 OLD COUNTRY RD SUITE 3
Riverhead, NY 11901
(631) 727-2523
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1194892224
1333 E MAIN ST
Riverhead, NY 11901
(631) 727-8827
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1942481056
100 CENTER DR RIVERHEAD CORRECTIONAL FACILITY; JAIL MEDICAL UNIT
Riverhead, NY 11901
(631) 852-1989
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1619946548
34 COMMERCE DR SUITE 1
Riverhead, NY 11901
(631) 727-1600
✔ PECOS✔ Accepts Medicare1.5 mi
Hospitalist
NPI 1093894446
300 CENTER DR
Riverhead, NY 11901
(631) 852-1800
✔ PECOS✔ Accepts Medicare1.5 mi
See all 134 clinicians

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 Central Suffolk Hospital's NPI number?

The NPI number for Central Suffolk Hospital is 1043402050. It was assigned to this organization in the NPPES registry on August 14, 2007. The provider is doing business as Peconic Bay Medical Center Professional Group Practice.

Where is Central Suffolk Hospital located?

Central Suffolk Hospital is located at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6116.

What is Central Suffolk Hospital's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Central Suffolk Hospital enrolled in Medicare?

Yes. Central Suffolk Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Suffolk Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 134 clinicians in 17 Medicare specialties reassign their Medicare billing to Central Suffolk Hospital. 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. The largest specialties are Internal Medicine (35), Hospitalist (32) and Family Practice (22). Of these, 14 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Suffolk Hospital was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.