NASSAU SUFFOLK MEDICAL PLLC
NPI 1679450829
Family Medicine in West Islip, NY

Q: What is Nassau Suffolk Medical PLLC's NPI number?

The NPI number for Nassau Suffolk Medical PLLC is 1679450829. It was assigned to this organization in the NPPES registry on August 19, 2025.

Q: What is Nassau Suffolk Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 19, 2025

125 SUNRISE HWY, WEST ISLIP, NY 11795(631) 983-4084(631) 983-4085 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nassau Suffolk Medical Pllc NPPES

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

NASSAU SUFFOLK MEDICAL PLLC (NPI 1679450829) is a healthcare organization registered as a family medicine in West Islip, New York and active in the NPI registry since August 2025. The organization lists Justin Schwartz, Owner, as its authorized official.

NPPES Registry Identity

NPI1679450829

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNASSAU SUFFOLK MEDICAL PLLC

Location Address125 SUNRISE HWYWest Islip, NY 11795-2023

Mailing Address266 Bangor StLindenhurst, NY 11757-3633 · (631) 983-4084 · Fax (631) 983-4085

Phone(631) 983-4084

Fax(631) 983-4085

Organization SubpartNo

Authorized OfficialJustin SchwartzOwner · (631) 478-4388

Enumeration DateAugust 19, 2025

NPPES CertifiedAugust 19, 2025

✔ NPI 1679450829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

125 SUNRISE HWY, West Islip, NY 11795

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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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Nassau Suffolk Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Victor Politi, MD

Emergency Medicine

NPI 1083718597

1000 MONTAUK HWY
West Islip, NY 11795

(631) 376-3000

✔ PECOS✔ Accepts Medicare1.9 mi

Faruque Ahmed, D.O.

General Surgery

NPI 1477645315

3728 77TH ST
Jackson Heights, NY 11372

(718) 200-0723

✔ PECOS✔ Accepts Medicare30 mi

Kemeisha Patterson, RN

Nurse Practitioner

NPI 1659841583

30 BROAD ST FL 45
New York, NY 10004

(888) 663-6331

✔ PECOS✔ Accepts Medicare37 mi

Mohammed Mojid, M.D.

Internal Medicine

NPI 1548255201

12700 SOUTHFORK RD SUITE 105
Saint Louis, MO 63128

(314) 525-1866

✔ PECOS✔ Accepts Medicare922 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 Nassau Suffolk Medical PLLC's NPI number?

The NPI number for Nassau Suffolk Medical PLLC is 1679450829. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Nassau Suffolk Medical PLLC located?

Nassau Suffolk Medical PLLC is located at 125 Sunrise Hwy, West Islip, NY 11795. The listed phone number is (631) 983-4084.

What is Nassau Suffolk Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nassau Suffolk Medical PLLC enrolled in Medicare?

Yes. Nassau Suffolk Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nassau Suffolk Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Nassau Suffolk Medical PLLC, in Emergency Medicine, General Surgery, Internal Medicine and Nurse Practitioner. 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 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 Nassau Suffolk Medical PLLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.