VA MEDICAL CENTER
NPI 1073698858
Physician Assistant - Medical in Northport, NY

Q: What is VA Medical Center's NPI number?

The NPI number for VA Medical Center is 1073698858. It was assigned to this organization in the NPPES registry on October 27, 2006.

Q: What is VA Medical Center's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for VA Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 27, 2006

VA MEDICAL CENTER, 79 MIDDLEVILLE RD - CARDIOLOGY 111, NORTHPORT, NY 11768(631) 261-4400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Va Medical Center NPPES

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

VA MEDICAL CENTER (NPI 1073698858) is a healthcare organization registered as a medical in Northport, New York and active in the NPI registry since October 2006. The organization lists Stefan Miller, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1073698858

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameVA MEDICAL CENTER

Location AddressVA MEDICAL CENTER, 79 MIDDLEVILLE RD - CARDIOLOGY 111Northport, NY 11768

Mailing Address50 Sequoia DrCoram, NY 11727-2039 · (631) 474-0263

Phone(631) 261-4400

Organization SubpartNo

Authorized OfficialStefan MillerPhysician Assistant · (631) 261-4400

Enumeration DateOctober 27, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1073698858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 000277

VA MEDICAL CENTER, Northport, NY 11768

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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRANDI M CARNEY LCSW

Social Worker (Clinical)

VA MEDICAL CENTER, 75 MIDDLEVILLE RD
NORTHPORT, NY 11768

Suffolk County (631) 774-1984

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 VA Medical Center's NPI number?

The NPI number for VA Medical Center is 1073698858. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is VA Medical Center located?

VA Medical Center is located at VA Medical Center 79 Middleville Rd - Cardiology 111, Northport, NY 11768. The listed phone number is (631) 261-4400.

What is VA Medical Center's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for VA Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.