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SUFFOLK PEDIATRIC, PC
NPI 1427355775
Pediatrics in Central Islip, NY

Active since February 23, 2011CLIA 33D1044250 · Waiver
45 W SUFFOLK AVE, 2ND FLOOR, CENTRAL ISLIP, NY 11722(631) 582-2228(631) 582-4881 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Suffolk Pediatric, Pc NPPES

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

SUFFOLK PEDIATRIC, PC (NPI 1427355775) is a healthcare organization registered as a pediatrics in Central Islip, New York and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists David Efrain Sanchez, President, as its authorized official.

NPPES Registry Identity

NPI1427355775
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSUFFOLK PEDIATRIC, PC
Location Address45 W SUFFOLK AVE, 2ND FLOORCentral Islip, NY 11722-2156
Mailing Address45 W Suffolk Ave, 2nd FloorCentral Islip, NY 11722-2156 · (631) 582-2228 · Fax (631) 582-4881
Phone(631) 582-2228
Fax(631) 582-4881
Organization SubpartNo
Authorized OfficialDavid Efrain SanchezPresident · (631) 582-2228
Enumeration DateFebruary 23, 2011
✔ NPI 1427355775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 215692-1
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 258769-1 (NY)
45 W SUFFOLK AVE, Central Islip, NY 11722
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Other Identifiers 1

Medicare UPINI02685NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suffolk Pediatric, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suffolk Pediatric, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marie Jacques, M.D.
Internal Medicine
NPI 1457488082
1618 NEW YORK AVE
Huntington Station, NY 11746
(631) 421-2190
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D1044250

Suffolk Pediatric PC · Central Islip, NY
Active · expires Aug 14, 2027
CLIA Number33D1044250
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorDr. David E. Sanchez
Laboratory Phone(631) 582-2228
Laboratory LocationSuffolk Pediatric PC45 W Suffolk Avenue, Suite 200, Central Islip, NY 11722
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatric, PC's NPI number?

The NPI number for Suffolk Pediatric, PC is 1427355775. It was assigned to this organization in the NPPES registry on February 23, 2011.

Where is Suffolk Pediatric, PC located?

Suffolk Pediatric, PC is located at 45 W Suffolk Ave 2nd Floor, Central Islip, NY 11722. The listed phone number is (631) 582-2228.

What is Suffolk Pediatric, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Suffolk Pediatric, PC enrolled in Medicare?

Yes. Suffolk Pediatric, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suffolk Pediatric, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Suffolk Pediatric, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Suffolk Pediatric, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1044250) is associated with this NPI, valid through August 14, 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 Suffolk Pediatric, PC was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.