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NORTH SUFFOLK NEUROLOGY, PC
NPI 1316335540
Clinic/Center - Medical Specialty in Port Jefferson Station, NY

Active since December 22, 2014CLIA 33D2246401 · Waiver
5 MEDICAL DR, PORT JEFFERSON STATION, NY 11776(631) 364-9119(631) 364-9118 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Suffolk Neurology, Pc NPPES

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

NORTH SUFFOLK NEUROLOGY, PC (NPI 1316335540) is a healthcare organization registered as a medical specialty in Port Jefferson Station, New York and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through December 23, 2027 and lists Warren Daniel Spinner, Chief Executive Officer/med. Dir., as its authorized official.

NPPES Registry Identity

NPI1316335540
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTH SUFFOLK NEUROLOGY, PC
Location Address5 MEDICAL DRPort Jefferson Station, NY 11776-1601
Mailing Address5 Medical DrPort Jefferson Station, NY 11776-1601 · (631) 364-9119 · Fax (631) 364-9118
Phone(631) 364-9119
Fax(631) 364-9118
Organization SubpartNo
Authorized OfficialWarren Daniel SpinnerChief Executive Officer/med. Dir. · (631) 942-2516
Enumeration DateDecember 22, 2014
Last NPPES UpdateDecember 13, 2016
✔ NPI 1316335540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 242921
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
5 MEDICAL DR, Port Jefferson Station, NY 11776
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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 33D2246401

North Suffolk Neurology PC · Commack, NY
Active · expires Dec 23, 2027
CLIA Number33D2246401
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorDr. Warren D. Spinner
Laboratory Phone(631) 364-9119
Laboratory LocationNorth Suffolk Neurology PC6080 Jericho Tpke Ste 100, Commack, NY 11725
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 7

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

DR. WARREN DANIEL SPINNER D.O.
Psychiatry & Neurology (Neurology)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
SABRINA LIVOTI PA-C
Physician Assistant
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
CASEY LYNN WARD
Physician Assistant
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
NEW WAVE NEUROLOGY PC
Psychiatry & Neurology (Neurology)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
PROF. ELISA HAN PH.D.
Psychologist (Clinical)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 632-3785
PETER WIGG PSY. D.
Psychologist (Clinical)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 632-3070
DR. GERARDO TOLENTINO M.D.
Psychiatry & Neurology (Neurodevelopmental Disabilities)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 632-3785

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 Neurology, PC's NPI number?

The NPI number for North Suffolk Neurology, PC is 1316335540. It was assigned to this organization in the NPPES registry on December 22, 2014.

Where is North Suffolk Neurology, PC located?

North Suffolk Neurology, PC is located at 5 Medical Dr, Port Jefferson Station, NY 11776. The listed phone number is (631) 364-9119.

What is North Suffolk Neurology, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does North Suffolk Neurology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2246401) is associated with this NPI, valid through December 23, 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 Neurology, PC was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.