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QUALITY MEDICAL MANAGEMENT CORP
NPI 1114502606
Nurse Anesthetist, Certified Registered in Port Jefferson Station, NY

Active since March 16, 2021
1110 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 476-9100 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Mar 16, 2021 (2 updates tracked since 2021).

About Quality Medical Management Corp NPPES

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

QUALITY MEDICAL MANAGEMENT CORP (NPI 1114502606) is a healthcare organization registered as a nurse anesthetist, certified registered in Port Jefferson Station, New York and active in the NPI registry since March 2021. The organization maintains 3 additional practice locations and lists Mike Reens, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114502606
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameQUALITY MEDICAL MANAGEMENT CORP
Location Address1110 HALLOCK AVEPort Jefferson Station, NY 11776-1210
Mailing AddressPo Box 577Islip, NY 11751-0577 · (800) 516-5315
Phone(631) 476-9100
Organization SubpartNo
Authorized OfficialMike ReensAuthorized Official · (631) 446-1190
Enumeration DateMarch 16, 2021
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1114502606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedAnesthesiologyTaxonomy 207L00000X
1110 HALLOCK AVE, Port Jefferson Station, NY 11776
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Secondary Practice Locations 3

Location 1160 Howells Rd Ste 16Bay Shore, NY 11706-5320 · Phone (631) 446-1190
Location 21149 Old Country RdRiverhead, NY 11901-2057 · Phone (631) 591-9003
Location 31324 Motor Pkwy Ste 101Islandia, NY 11749-5226 · Phone (631) 979-0222

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 6

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

DR. ROBERT M POLLINA M.D.
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
MAURICIO SZUCHMACHER M.D.
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
DR. VOLODYMYR LABINSKYY M.D.
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
SUFFOLK MEDICAL SPECIALIST, PLLC
Internal Medicine
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
SUFFOLK VASCULAR ASSOCIATES, PLLC
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
MS. DOREEN DELANEY P.A.
Physician Assistant (Surgical)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100

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 Quality Medical Management Corp's NPI number?

The NPI number for Quality Medical Management Corp is 1114502606. It was assigned to this organization in the NPPES registry on March 16, 2021.

Where is Quality Medical Management Corp located?

Quality Medical Management Corp is located at 1110 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 476-9100.

What is Quality Medical Management Corp's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Quality Medical Management Corp was last updated on March 25, 2021. 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.