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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUFFOLK PRIMARY HEALTH, LLC
NPI 1174965727
Clinic/Center - Primary Care in Riverhead, NY

Active since July 24, 2013CLIA Certified · 7 labs
170 OLD COUNTRY RD, RIVERHEAD, NY 11901(631) 208-4460(631) 208-4462 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 4, 2026, Mar 14, 2017 (2 updates tracked since 2017).

About Suffolk Primary Health, Llc NPPES

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

SUFFOLK PRIMARY HEALTH, LLC (NPI 1174965727) is a healthcare organization registered as a primary care in Riverhead, New York and active in the NPI registry since July 2013. The organization holds 7 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Matisyahu Swerdloff, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174965727
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUFFOLK PRIMARY HEALTH, LLC
Location Address170 OLD COUNTRY RDRiverhead, NY 11901-2198
Mailing Address5308 13th Ave Ste 334Brooklyn, NY 11219-5198 · (631) 208-4460 · Fax (631) 208-4462
Phone(631) 208-4460
Fax(631) 208-4462
Organization SubpartNo
Authorized OfficialMatisyahu SwerdloffCeo · (631) 208-4460
Enumeration DateJuly 24, 2013
Last NPPES UpdateSeptember 4, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1174965727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 5155205R
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
170 OLD COUNTRY RD, Riverhead, NY 11901
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1135 Main StHempstead, NY 11550-2414 · Phone (631) 208-4460 · Fax (631) 208-4462
Location 218420 Union TpkeFresh Meadows, NY 11366-1730 · Phone (646) 453-0219 · Fax (646) 699-1520
Location 3561 Burnside AveInwood, NY 11096-1300 · Phone (631) 208-4460 · Fax (718) 868-2270

Other Identifiers 2

Other5155205RNY · Nys Doh Opcert
Other6361NY · Nys Facility Id

CLIA Laboratory Certificates CMS CLIA 7

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 33D2137930

Suffolk Primary Health LLC · Riverhead, NY
Active · expires Mar 26, 2027
CLIA Number33D2137930
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Simon Fensterszaub
Laboratory Phone(631) 208-4460
Laboratory LocationSuffolk Primary Health LLC170 Old Country Road, Riverhead, NY 11901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2317711

Suffolk Primary Health LLC Dba Suffolk Health Hempstead · Hempstead, NY
Active · expires Jan 29, 2027
CLIA Number33D2317711
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorDr. Ilan Semandov
Laboratory Phone(631) 208-4460
Laboratory LocationSuffolk Primary Health LLC Dba Suffolk Health Hempstead135 Main Street, Hempstead, NY 11550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2343664

Suffolk Proimary Health LLC Dba Suffolk Health Tfc · Inwood, NY
Active · expires Mar 26, 2027
CLIA Number33D2343664
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Hylton I. Lightman
Laboratory Phone(631) 208-4460
Laboratory LocationSuffolk Proimary Health LLC Dba Suffolk Health Tfc561 Burnside Ave, Inwood, NY 11096
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2321307

Suffolk Primary Health LLC Dba Suffolk Health North Rockland · Suffern, NY
Active · expires Apr 1, 2027
CLIA Number33D2321307
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorIlan Semandov
Laboratory Phone(631) 208-4460
Laboratory LocationSuffolk Primary Health LLC Dba Suffolk Health North Rockland222 Rt 59 Suite 108-110, Suffern, NY 10901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2321311

Suffolk Primary Health LLC Dba Suffolk Health Total Family Care · Inwood, NY
Active · expires Apr 1, 2027
CLIA Number33D2321311
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorIlan Semandov
Laboratory Phone(631) 208-4460
Laboratory LocationSuffolk Primary Health LLC Dba Suffolk Health Total Family Care603 Burnside Avenue, Inwood, NY 11096
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2333393

Suffolk Primary Health LLC Dba Suffolk Health 5towns · Cedarhurst, NY
Active · expires Mar 26, 2027
CLIA Number33D2333393
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Hylton I. Lightman
Laboratory Phone(631) 208-4460
Laboratory LocationSuffolk Primary Health LLC Dba Suffolk Health 5towns380 Rockaway Tpke, Cedarhurst, NY 11516
CLIA data matches this NPI record on: 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.

OSHRAT KAPLAN LMSW
Social Worker
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
CHASITY JENKINS
Social Worker
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
KELLY GUNCAY
Licensed Practical Nurse
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
JONATHAN SAUL ZOLTY
Social Worker
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4461
ADINA PLUTCHOK RN
Registered Nurse
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (347) 222-6620
ANDREA CRISTINA MONTESDEOCA
Registered Nurse
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4462
BENJAMIN PENN
Physician Assistant (Medical)
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
JULISSA SOSA LMSW
Social Worker
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460

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 Suffolk Primary Health, LLC's NPI number?

The NPI number for Suffolk Primary Health, LLC is 1174965727. It was assigned to this organization in the NPPES registry on July 24, 2013.

Where is Suffolk Primary Health, LLC located?

Suffolk Primary Health, LLC is located at 170 Old Country Rd, Riverhead, NY 11901. The listed phone number is (631) 208-4460.

What is Suffolk Primary Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Suffolk Primary Health, LLC hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Suffolk Primary Health, LLC was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.