TRUE NORTH MEDICAL AT NORTH SUFFOLK PLLC
NPI 1639804628
Psychiatry & Neurology - Neurology in Port Jefferson Station, NY

Active since July 22, 2022
1010 ROUTE 112 STE 300, PORT JEFFERSON STATION, NY 11776(631) 886-4985(631) 364-9119 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2023, Jul 22, 2022 (2 updates tracked since 2022).

About True North Medical At North Suffolk Pllc NPPES

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

TRUE NORTH MEDICAL AT NORTH SUFFOLK PLLC (NPI 1639804628) is a healthcare organization registered as a neurology in Port Jefferson Station, New York and active in the NPI registry since July 2022. The organization lists Warren Spinner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639804628
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameTRUE NORTH MEDICAL AT NORTH SUFFOLK PLLC
Location Address1010 ROUTE 112 STE 300Port Jefferson Station, NY 11776-3386
Mailing Address600 Community DrManhasset, NY 11030-3802 · (516) 419-0412
Fax(631) 364-9119
Organization SubpartNo
Authorized OfficialWarren SpinnerAdministrator · (631) 364-9119
Enumeration DateJuly 22, 2022
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1639804628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1010 ROUTE 112 STE 300, Port Jefferson Station, NY 11776

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 MULTIPLE 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)

True North Medical At North Suffolk Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to True North Medical At North Suffolk PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Neurology8
Diagnostic Radiology3
Nurse Practitioner2
Family Practice1
Pain Management1

Clinicians, nearest first (15)

Neurology
NPI 1386987956
1010 ROUTE 112 STE 300
Port Jefferson Station, NY 11776
(631) 364-9119
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1164617544
5 MEDICAL DR
Port Jefferson Station, NY 11776
(631) 364-9119
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1518256767
635 BELLE TERRE RD STE 209
Port Jefferson, NY 11777
(631) 474-0707
✔ PECOS1.4 mi
Diagnostic Radiology
NPI 1750318986
101 NICOLLS ROAD HSC L4 SUITE 120
Stony Brook, NY 11794
(631) 444-6919
✔ PECOS✔ Accepts Medicare3.8 mi
Neurology
NPI 1528555117
6080 JERICHO TPKE STE 100
Commack, NY 11725
(631) 364-9119
✔ PECOS✔ Accepts Medicare15 mi
Neurology
NPI 1467432625
6080 JERICHO TPKE
Commack, NY 11725
(631) 364-9119
✔ PECOS✔ Accepts Medicare15 mi
Neurology
NPI 1144631987
6080 JERICHO TPKE
Commack, NY 11725
(631) 364-9119
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1528038015
150 E SUNRISE HWY SUITE 201
Lindenhurst, NY 11757
(631) 225-7200
✔ PECOS✔ Accepts Medicare23 mi
Neurology
NPI 1619139201
824 OLD COUNTRY RD
Plainview, NY 11803
(516) 822-2230
✔ PECOS✔ Accepts Medicare25 mi
Neurology
NPI 1811973449
824 OLD COUNTRY RD
Plainview, NY 11803
(516) 822-2230
✔ PECOS✔ Accepts Medicare25 mi
Pain Management
NPI 1912985656
651 OLD COUNTRY RD
Plainview, NY 11803
(516) 681-8822
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1558860395
17901 80TH DR
Jamaica, NY 11432
(917) 291-9448
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1306296751
10255 63RD RD
Forest Hills, NY 11375
(347) 808-0346
✔ PECOS✔ Accepts Medicare44 mi
Diagnostic Radiology
NPI 1790749885
560 1ST AVE
New York, NY 10016
(212) 263-5219
✔ PECOS✔ Accepts Medicare50 mi
Neurology
NPI 1124439328
120 OCHSNER BLVD STE 320
Gretna, LA 70056
(504) 595-8318
✔ PECOS✔ Accepts Medicare1,220 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 True North Medical At North Suffolk PLLC's NPI number?

The NPI number for True North Medical At North Suffolk PLLC is 1639804628. It was assigned to this organization in the NPPES registry on July 22, 2022.

Where is True North Medical At North Suffolk PLLC located?

True North Medical At North Suffolk PLLC is located at 1010 Route 112 Ste 300, Port Jefferson Station, NY 11776. The listed phone number is (631) 886-4985.

What is True North Medical At North Suffolk PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is True North Medical At North Suffolk PLLC enrolled in Medicare?

Yes. True North Medical At North Suffolk PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through True North Medical At North Suffolk PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to True North Medical At North Suffolk PLLC. 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. The largest specialties are Neurology (8), Diagnostic Radiology (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for True North Medical At North Suffolk PLLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.