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NORTH SUFFOLK MEDICAL CARE, PC
NPI 1114022084
Internal Medicine - Geriatric Medicine in Calverton, NY

Active since September 14, 2006CLIA 33D1072138 · Waiver
4480 MIDDLE COUNTRY RD, CALVERTON, NY 11933(631) 208-2919(631) 208-0976 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Suffolk Medical Care, Pc NPPES

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

NORTH SUFFOLK MEDICAL CARE, PC (NPI 1114022084) is a healthcare organization registered as a geriatric medicine in Calverton, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists John P O'connor, Owner, as its authorized official.

NPPES Registry Identity

NPI1114022084
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameNORTH SUFFOLK MEDICAL CARE, PC
Location Address4480 MIDDLE COUNTRY RDCalverton, NY 11933-1185
Mailing Address4480 Middle Country RdCalverton, NY 11933-1185 · (630) 208-2919 · Fax (631) 208-0976
Phone(631) 208-2919
Fax(631) 208-0976
Organization SubpartNo
Authorized OfficialJohn P O'connorOwner · (631) 208-2919
Enumeration DateSeptember 14, 2006
Last NPPES UpdateFebruary 21, 2025
✔ NPI 1114022084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
4480 MIDDLE COUNTRY RD, Calverton, NY 11933
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1072138

North Suffolk Medical Care PC · Calverton, NY
Active · expires Aug 8, 2027
CLIA Number33D1072138
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorJohn O'connor
Laboratory Phone(631) 208-3100
Laboratory LocationNorth Suffolk Medical Care PC4480 Middle Country Road, Calverton, NY 11933
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

HEALTHCARE SUPPORT SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
4480 MIDDLE COUNTRY RD
CALVERTON, NY 11933
Suffolk County (631) 648-8680
CATHERINE MOLTER N.P.
Nurse Practitioner (Adult Health)
4480 MIDDLE COUNTRY RD
CALVERTON, NY 11933
Suffolk County (631) 208-3100

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 North Suffolk Medical Care, PC's NPI number?

The NPI number for North Suffolk Medical Care, PC is 1114022084. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is North Suffolk Medical Care, PC located?

North Suffolk Medical Care, PC is located at 4480 Middle Country Rd, Calverton, NY 11933. The listed phone number is (631) 208-2919.

What is North Suffolk Medical Care, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does North Suffolk Medical Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1072138) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Suffolk Medical Care, PC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.