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

NPI Status: Active since October 25, 2007

Contact Information

4 TECHNOLOGY DR
SUITE 210
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 331-1506
Fax: (631) 331-1705

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  • Organization
  • Family Medicine
  • Adult Medicine
  • CLIA Number: 33D2111200
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About NORTH SUFFOLK FAMILY MEDICAL CARE PLLC

This page provides the complete NPI Profile along with additional information for North Suffolk Family Medical Care Pllc, a primary care provider established in East Setauket, New York operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1174702229 assigned on October 2007. The practitioner's primary taxonomy code is 207QA0505X with license number 211383 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Deborah Susan Schiller (Administdrator)

NPI
1174702229
Provider Name
NORTH SUFFOLK FAMILY MEDICAL CARE PLLC
Entity Type
Organization
Location Address
4 TECHNOLOGY DR SUITE 210 EAST SETAUKET, NY 11733
Location Phone
(631) 331-1506
Location Fax
(631) 331-1705
Mailing Address
4 TECHNOLOGY DR SUITE 210 EAST SETAUKET, NY 11733
Mailing Phone
(631) 331-1506
Mailing Fax
(631) 331-1705
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2007
Last Update Date
05-09-2011
Code Navigator

A primary care provider (PCP) like North Suffolk Family Medical Care Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
License No.
211383
License State
NY
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DEBORAH SUSAN SCHILLER

Authorized Official Title
ADMINISTDRATOR
Authorized Official Phone
(631) 331-1506

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Y27577MEDICARE UPIN (02)NY 
WEV111MEDICARE PIN (08)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2111200
Facility Type
Physician Office
Certificate Effective Date
April 01, 2016
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. KEVIN SCHILLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Suffolk Family Medical Care Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174702229, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 4 + 0 + 4 + 2 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1174702229.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
4 TECHNOLOGY DR, SUITE 120
EAST SETAUKET, NY 11733
Podiatrist
4 TECHNOLOGY DR, SUITE 110
EAST SETAUKET, NY 11733
Advanced Practice Midwife
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Surgery (Vascular Surgery)
4 TECHNOLOGY DR, SUITE 120
EAST SETAUKET, NY 11733
Obstetrics & Gynecology
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Obstetrics & Gynecology
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Obstetrics & Gynecology
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Podiatrist
4 TECHNOLOGY DR, SUITE 110
EAST SETAUKET, NY 11733
Nurse Practitioner (Women's Health)
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4 TECHNOLOGY DR, STONY BROOK UNIVERSITY PHYSICIANS
EAST SETAUKET, NY 11733
Nurse Practitioner (Women's Health)
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Obstetrics & Gynecology
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Pediatrics (Pediatric Pulmonology)
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Dermatology
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Pediatrics
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Pediatrics
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Pediatrics
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Pediatrics (Pediatric Allergy/Immunology)
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Surgery
4 TECHNOLOGY DR, SUITE 240
EAST SETAUKET, NY 11733
Pediatrics (Pediatric Cardiology)
4 TECHNOLOGY DR, SUITE 250
EAST SETAUKET, NY 11733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174702229, enumerated as an "organization" on October 25, 2007.

The provider is located at 4 TECHNOLOGY DR SUITE 210 EAST SETAUKET, NY 11733 and the phone number is (631) 331-1506.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.