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CS MEDICAL ASSOCIATES, P.C.
NPI 1346880960
Clinic/Center - Rehabilitation, Substance Use Disorder in Shirley, NY

Active since January 11, 2020CLIA Certified · 3 labs
2 CORACI BLVD STE 15, SHIRLEY, NY 11967(631) 696-4357(631) 846-8138 Get Directions Write a Review

NPPES record last updated: January 11, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Cs Medical Associates, P.c. NPPES

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

CS MEDICAL ASSOCIATES, P.C. (NPI 1346880960), doing business as Victory Recovery Partners, is a healthcare organization registered as a rehabilitation, substance use disorder in Shirley, New York and active in the NPI registry since January 2020. The organization holds 3 active CLIA laboratory certificates and lists Tracey Wallace, Vp Ops, as its authorized official.

NPPES Registry Identity

NPI1346880960
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCS MEDICAL ASSOCIATES, P.C.
Location Address2 CORACI BLVD STE 15Shirley, NY 11967-4833
Mailing Address100 Granny Rd Ste 1Farmingville, NY 11738-2879 · (631) 696-4357
Phone(631) 696-4357
Fax(631) 846-8138
Organization SubpartYes
Authorized OfficialTracey WallaceVp Ops · (631) 696-4357
Enumeration DateJanuary 11, 2020
✔ NPI 1346880960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2 CORACI BLVD STE 15, Shirley, NY 11967
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Other Names 1

Doing Business AsVictory Recovery Partners

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 33D2178851

Cs Medical Associates PC · Shirley, NY
Active · expires Mar 26, 2027
CLIA Number33D2178851
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Paolo T. Coppola
Laboratory Phone(631) 696-4357
Laboratory LocationCs Medical Associates PC2 Coraci Blvd - Suite 15, Shirley, NY 11967
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 33D2337017

Cs Medical Associates PC · Massapequa Park, NY
Active · expires Mar 26, 2027
CLIA Number33D2337017
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Paolo T. Coppola
Laboratory Phone(631) 696-4357
Laboratory LocationCs Medical Associates PC5100 Sunrise Hwy, Massapequa Park, NY 11762
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2141914

Cs Medicial Associates PC · Farmingville, NY
Active · expires Mar 26, 2027
CLIA Number33D2141914
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Paolo T. Coppola
Laboratory Phone(631) 696-4357
Laboratory LocationCs Medicial Associates PC100 Granny Rd - Suite 2, Farmingville, NY 11738
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

LAURA ACEVEDO LPN
Licensed Practical Nurse
2 CORACI BLVD STE 15
SHIRLEY, NY 11967
Suffolk County (631) 315-2320
AMANDA DANGELMAIER
Counselor (Addiction (Substance Use Disorder))
2 CORACI BLVD STE 15
SHIRLEY, NY 11967
Suffolk County (631) 696-4357
RONNELL FRANCIS
Counselor (Addiction (Substance Use Disorder))
2 CORACI BLVD STE 15
SHIRLEY, NY 11967
Suffolk County (631) 696-4357
AMANDA BALLAN LMSW
Social Worker
2 CORACI BLVD STE 15
SHIRLEY, NY 11967
Suffolk County (631) 696-4357

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 Cs Medical Associates, P.C.'s NPI number?

The NPI number for Cs Medical Associates, P.C. is 1346880960. It was assigned to this organization in the NPPES registry on January 11, 2020. The provider is doing business as Victory Recovery Partners.

Where is Cs Medical Associates, P.C. located?

Cs Medical Associates, P.C. is located at 2 Coraci Blvd Ste 15, Shirley, NY 11967. The listed phone number is (631) 696-4357.

What is Cs Medical Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Cs Medical Associates, P.C. hold CLIA laboratory certificates?

Yes. 3 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 Cs Medical Associates, P.C. was last updated on January 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.