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NORTH SUFFOLK FAMILY MEDICAL CARE PLLC
NPI 1174702229
Family Medicine - Adult Medicine in East Setauket, NY

Active since October 25, 2007CLIA 33D2111200 · Waiver
4 TECHNOLOGY DR, SUITE 210, EAST SETAUKET, NY 11733(631) 331-1506(631) 331-1705 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Suffolk Family Medical Care Pllc NPPES

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

NORTH SUFFOLK FAMILY MEDICAL CARE PLLC (NPI 1174702229) is a healthcare organization registered as an adult medicine in East Setauket, New York and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Deborah Susan Schiller, Administdrator, as its authorized official.

NPPES Registry Identity

NPI1174702229
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameNORTH SUFFOLK FAMILY MEDICAL CARE PLLC
Location Address4 TECHNOLOGY DR, SUITE 210East Setauket, NY 11733-4068
Mailing Address4 Technology Dr, Suite 210East Setauket, NY 11733-4068 · (631) 331-1506 · Fax (631) 331-1705
Phone(631) 331-1506
Fax(631) 331-1705
Organization SubpartNo
Authorized OfficialDeborah Susan SchillerAdministdrator · (631) 331-1506
Enumeration DateOctober 25, 2007
Last NPPES UpdateMay 9, 2011
✔ NPI 1174702229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NY · 211383
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4 TECHNOLOGY DR, East Setauket, NY 11733
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Other Identifiers 2

Medicare UPINY27577NY
Medicare PINWEV111NY

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 33D2111200

North Suffolk Family Medical Care · East Setauket, NY
Active · expires Mar 26, 2027
CLIA Number33D2111200
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Kevin Schiller
Laboratory Phone(631) 331-1506
Laboratory LocationNorth Suffolk Family Medical Care4 Technology Dr - Suite 210, East Setauket, NY 11733
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JAMES BERNASKO M.D
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4 TECHNOLOGY DR, STONY BROOK UNIVERSITY PHYSICIANS
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4686
DR. MELISSA STRAFFORD M.D.
Obstetrics & Gynecology
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4686
DR. STUART MARC HOLZER M.D.
Pediatrics (Pediatric Cardiology)
4 TECHNOLOGY DR, SUITE 250
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4601
CRISTIN ROSE GENGLER CPNP
Nurse Practitioner (Pediatrics)
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-2700
SETAUKET SURGERY, PC
Surgery
4 TECHNOLOGY DR, SUITE 220
EAST SETAUKET, NY 11733
Suffolk County (631) 476-9296
DR. JACK OATS M.D.
Ophthalmology
4 TECHNOLOGY DR, SUITE 150
EAST SETAUKET, NY 11733
Suffolk County (631) 941-1400
DR. JOHN R WITTPENN M.D.
Ophthalmology
4 TECHNOLOGY DR, SUITE 150
EAST SETAUKET, NY 11733
Suffolk County (631) 941-1400
KARIM A PARACHA PHYSICIAN PC
Surgery
4 TECHNOLOGY DR, SUITE 240
EAST SETAUKET, NY 11733
Suffolk County (631) 675-6865

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 Family Medical Care PLLC's NPI number?

The NPI number for North Suffolk Family Medical Care PLLC is 1174702229. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is North Suffolk Family Medical Care PLLC located?

North Suffolk Family Medical Care PLLC is located at 4 Technology Dr Suite 210, East Setauket, NY 11733. The listed phone number is (631) 331-1506.

What is North Suffolk Family Medical Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does North Suffolk Family Medical Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2111200) is associated with this NPI, valid through March 26, 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 Family Medical Care PLLC was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.