COASTAL MEDICAL SERVICES OF NY PLLC
NPI 1689334310
Specialist in Port Jefferson Station, NY
About Coastal Medical Services Of Ny Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL MEDICAL SERVICES OF NY PLLC (NPI 1689334310) is a healthcare organization registered as a specialist in Port Jefferson Station, New York and active in the NPI registry since December 2021. The organization lists Gregory Brevetti, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Coastal Medical Services Of Ny Pllc 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 Coastal Medical Services Of Ny PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Coastal Medical Services Of Ny PLLC's NPI number?
The NPI number for Coastal Medical Services Of Ny PLLC is 1689334310. It was assigned to this organization in the NPPES registry on December 21, 2021.
Where is Coastal Medical Services Of Ny PLLC located?
Coastal Medical Services Of Ny PLLC is located at 1500 Route 112 Ste B, Port Jefferson Station, NY 11776. The listed phone number is (917) 575-8907.
What is Coastal Medical Services Of Ny PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Coastal Medical Services Of Ny PLLC enrolled in Medicare?
Yes. Coastal Medical Services Of Ny PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Medical Services Of Ny PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Thoracic Surgery) reassigns their Medicare billing to Coastal Medical Services Of Ny 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coastal Medical Services Of Ny PLLC was last updated on March 14, 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.
# Coastal Medical Services Of Ny Pllc · NPI 1689334310
Specialist organization in Port Jefferson Station, New York. Organization record, active in the CMS NPPES registry since December 21, 2021.
## Identity
- **NPI:** 1689334310 (Entity type: Organization)
- **Enumerated:** December 21, 2021
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Gregory Brevetti, OWNER
## Practice location
- **Address:** 1500 ROUTE 112 STE B, Port Jefferson Station, NY 11776-8055
- **Phone:** (917) 575-8907
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Thoracic Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689334310) · Data from the CMS NPPES public registry.