MARTIN LUTHER KING JR FAMILY HEALTH CENTER
NPI 1275637480
Clinic/Center in Wyandanch, NY

Q: What is County Of Suffolk's NPI number?

The NPI number for County Of Suffolk is 1275637480. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Martin Luther King Jr Family Health Center.

Q: What is County Of Suffolk's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for County Of Suffolk was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 08, 2006

1556 STRAIGHT PATH, WYANDANCH, NY 11798(631) 854-1700(631) 854-1783 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Martin Luther King Jr Family Health Center NPPES

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

MARTIN LUTHER KING JR FAMILY HEALTH CENTER (NPI 1275637480) is a healthcare organization registered as a clinic/center in Wyandanch, New York and active in the NPI registry since September 2006. The organization lists James L Tomarken, Commissioner, as its authorized official.

NPPES Registry Identity

NPI1275637480

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCOUNTY OF SUFFOLK

Location Address1556 STRAIGHT PATHWyandanch, NY 11798-3213

Mailing Address3500 Sunrise Hwy, Suite 124, P.o. Box 9006Great River, NY 11739-9006 · (631) 854-0000 · Fax (631) 854-0108

Phone(631) 854-1700

Fax(631) 854-1783

Organization SubpartNo

Authorized OfficialJames L TomarkenCommissioner · (631) 854-0100

Enumeration DateSeptember 8, 2006

Last NPPES UpdateOctober 17, 2012

✔ NPI 1275637480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1556 STRAIGHT PATH, Wyandanch, NY 11798

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Other Names 1

Doing Business AsMartin Luther King Jr Family Health Center

Other Identifiers 2

Medicaid03003601NY

Medicare PINW03151NY

Other Providers at the Same Location NPPES 9

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

KRIS THOMAS VARUGHESE RN

Registered Nurse

1556 STRAIGHT PATH
WYANDANCH, NY 11798

Suffolk County (347) 981-8268

MARIA ROMAN-KASMIERCZAK

Social Worker

1556 STRAIGHT PATH, HUDSON RIVER HEALTHCARE, INC.
WYANDANCH, NY 11798

Suffolk County (516) 214-8020

ARTHUR CALICA LICLICAN MD

Internal Medicine

1556 STRAIGHT PATH
WYANDANCH, NY 11798

Suffolk County (631) 854-1700

MARIE O'DONNELL LCSW

Social Worker (Clinical)

1556 STRAIGHT PATH
WYANDANCH, NY 11798

Suffolk County (516) 214-8020

RAJESH SAVARGAONKAR MD

Pediatrics

1556 STRAIGHT PATH, MARTIN LUTHER KING JR HEALTH CENTER
WYANDANCH, NY 11798

Suffolk County (631) 854-1700

CARLY GENNARO D.O

Family Medicine

1556 STRAIGHT PATH
WYANDANCH, NY 11798

Suffolk County (516) 214-8020

DONNA MOODIE RD CDE

Dietitian, Registered

1556 STRAIGHT PATH
WYANDANCH, NY 11798

Suffolk County (631) 854-1700

EMILIO P QUINES JR. MD

Family Medicine

1556 STRAIGHT PATH, MARTIN LUTHER KING JR HEALTH CENTER
WYANDANCH, NY 11798

Suffolk County (631) 854-1781

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 County Of Suffolk's NPI number?

The NPI number for County Of Suffolk is 1275637480. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Martin Luther King Jr Family Health Center.

Where is County Of Suffolk located?

County Of Suffolk is located at 1556 Straight Path, Wyandanch, NY 11798. The listed phone number is (631) 854-1700.

What is County Of Suffolk's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for County Of Suffolk was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.