VASCULAR SURGERY ASSOCIATE OF SUFFOLK COUNTY, PLLC
NPI 1477893113
Surgery - Vascular Surgery in Patchogue, NY
About Vascular Surgery Associate Of Suffolk County, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VASCULAR SURGERY ASSOCIATE OF SUFFOLK COUNTY, PLLC (NPI 1477893113) is a healthcare organization registered as a vascular surgery in Patchogue, New York and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Danielle Cowan, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vascular Surgery Associate Of Suffolk County, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vascular Surgery Associate Of Suffolk County, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 33D2343299
Vascular Surgery Associate Of Suffolk County PLLC · Patchogue, NYFrequently 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 Vascular Surgery Associate Of Suffolk County, PLLC's NPI number?
The NPI number for Vascular Surgery Associate Of Suffolk County, PLLC is 1477893113. It was assigned to this organization in the NPPES registry on February 17, 2013.
Where is Vascular Surgery Associate Of Suffolk County, PLLC located?
Vascular Surgery Associate Of Suffolk County, PLLC is located at 33 Medford Ave Ste A, Patchogue, NY 11772. The listed phone number is (631) 569-5410.
What is Vascular Surgery Associate Of Suffolk County, PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Vascular Surgery Associate Of Suffolk County, PLLC enrolled in Medicare?
Yes. Vascular Surgery Associate Of Suffolk County, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vascular Surgery Associate Of Suffolk County, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Vascular Surgery Associate Of Suffolk County, PLLC, in Cardiovascular Disease (Cardiology) and Vascular Surgery. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vascular Surgery Associate Of Suffolk County, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2343299) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vascular Surgery Associate Of Suffolk County, PLLC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Vascular Surgery Associate Of Suffolk County, Pllc · NPI 1477893113
Vascular Surgery organization in Patchogue, New York. Organization record, active in the CMS NPPES registry since February 17, 2013.
## Identity
- **NPI:** 1477893113 (Entity type: Organization)
- **Enumerated:** February 17, 2013
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Danielle Cowan, MANAGER
## Practice location
- **Address:** 33 MEDFORD AVE STE A, Patchogue, NY 11772-1222
- **Phone:** (631) 569-5410 · **Fax:** (631) 569-5413
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (2), Vascular Surgery (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477893113) · Data from the CMS NPPES public registry.