EASTERN SUFFOLK PULMONOLOGY,PC
NPI 1477767465
Specialist in Riverhead, NY

Active since May 09, 2007
1149 OLD COUNTRY RD, SUITE C-2, RIVERHEAD, NY 11901(631) 369-7660(631) 369-7688 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eastern Suffolk Pulmonology,pc NPPES

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

EASTERN SUFFOLK PULMONOLOGY,PC (NPI 1477767465) is a healthcare organization registered as a specialist in Riverhead, New York and active in the NPI registry since May 2007. The organization lists Rajesh C Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1477767465
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTERN SUFFOLK PULMONOLOGY,PC
Location Address1149 OLD COUNTRY RD, SUITE C-2Riverhead, NY 11901-2057
Mailing Address1149 Old Country Rd, Suite C-2Riverhead, NY 11901-2057 · (631) 369-7660 · Fax (631) 369-7688
Fax(631) 369-7688
Organization SubpartNo
Authorized OfficialRajesh C PatelOwner · (631) 369-7660
Enumeration DateMay 9, 2007
Last NPPES UpdateJune 2, 2008
✔ NPI 1477767465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 194902
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1149 OLD COUNTRY RD, Riverhead, NY 11901

Other Identifiers 2

Medicare PINW31291NY
Medicare PIN33N011NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Eastern Suffolk Pulmonology,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 Eastern Suffolk Pulmonology,pc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1912921651
715 RONOAKE AVE
Riverhead, NY 11901
(631) 369-7660
✔ PECOS✔ Accepts Medicare0.8 mi

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

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 Eastern Suffolk Pulmonology,pc's NPI number?

The NPI number for Eastern Suffolk Pulmonology,pc is 1477767465. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Eastern Suffolk Pulmonology,pc located?

Eastern Suffolk Pulmonology,pc is located at 1149 Old Country Rd Suite C-2, Riverhead, NY 11901. The listed phone number is (631) 369-7660.

What is Eastern Suffolk Pulmonology,pc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Eastern Suffolk Pulmonology,pc enrolled in Medicare?

Yes. Eastern Suffolk Pulmonology,pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Suffolk Pulmonology,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Eastern Suffolk Pulmonology,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.

When was this NPI record last updated?

The NPPES record for Eastern Suffolk Pulmonology,pc was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.