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PATCHOGUE VA CBOC
NPI 1700820438
Clinic/Center - VA in Patchogue, NY

Active since June 15, 2006
4 PHYLLIS DR, PATCHOGUE, NY 11772(717) 277-6565 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2023, Sep 6, 2022 (2 updates tracked since 2022).

About Patchogue Va Cboc NPPES

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

PATCHOGUE VA CBOC (NPI 1700820438) is a healthcare organization registered as a va in Patchogue, New York and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1700820438
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameNORTHPORT VAMC
Location Address4 PHYLLIS DRPatchogue, NY 11772-2900
Mailing AddressPo Box 94445Cleveland, OH 44101-4445 · (717) 277-6565
Phone(717) 277-6565
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 15, 2006
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1700820438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
4 PHYLLIS DR, Patchogue, NY 11772
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Other Names 1

Other NamePatchogue Va Cboc

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET E. WEISBERG LCSW-R
Social Worker (Clinical)
4 PHYLLIS DR, SUITE A-1
EAST PATCHOGUE, NY 11772
Suffolk County (631) 654-1560
COUNTRY FOOT CARE PODIATRY PLLC
Podiatrist (Foot & Ankle Surgery)
4 PHYLLIS DR
PATCHOGUE, NY 11772
Suffolk County (631) 475-3030
MS. JOELLEN ANDERSON NP
Nurse Practitioner (Psychiatric/Mental Health)
4 PHYLLIS DR, STE H
PATCHOGUE, NY 11772
Suffolk County (631) 447-7560
TRICHY ARUMUGAM M.D.
Surgery
4 PHYLLIS DR, SUITE B
PATCHOGUE, NY 11772
Suffolk County (631) 289-4700
KAREN GROSS LMHC, CRC
Counselor (Mental Health)
4 PHYLLIS DR
PATCHOGUE, NY 11772
Suffolk County (631) 750-5362
DR. STEVEN B AXT D.P.M.
Podiatrist
4 PHYLLIS DR, SUITE A3
PATCHOGUE, NY 11772
Suffolk County (631) 475-3030
DR. PAWANDEEP SINGH HUNJAN MD
Surgery
4 PHYLLIS DR, SUITE B
PATCHOGUE, NY 11772
Suffolk County (631) 289-4700
STEVEN B. AXT, DPM, P.C.
Podiatrist (Primary Podiatric Medicine)
4 PHYLLIS DR, SUITE A
PATCHOGUE, NY 11772
Suffolk County (631) 475-3030

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 Northport Vamc's NPI number?

The NPI number for Northport Vamc is 1700820438. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is also known as Patchogue VA Cboc.

Where is Northport Vamc located?

Northport Vamc is located at 4 Phyllis Dr, Patchogue, NY 11772. The listed phone number is (717) 277-6565.

What is Northport Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Northport Vamc was last updated on January 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.