SOUTH BROOKHAVEN HEALTH CENTER EAST
NPI 1710081922
Clinic/Center in Shirley, NY

Active since September 08, 2006
550 MONTAUK HWY, SHIRLEY, NY 11967(631) 852-1000(631) 852-1009 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About South Brookhaven Health Center East NPPES

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

SOUTH BROOKHAVEN HEALTH CENTER EAST (NPI 1710081922) is a healthcare organization registered as a clinic/center in Shirley, New York and active in the NPI registry since September 2006. The organization lists James L Tomarken, Commissioner, as its authorized official.

NPPES Registry Identity

NPI1710081922
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOUNTY OF SUFFOLK
Location Address550 MONTAUK HWYShirley, NY 11967-2114
Mailing AddressP.o. Box 9006, 3500 Sunrise Hwy, Suite 124Great River, NY 11739-9006 · (631) 854-0000 · Fax (631) 854-0108
Fax(631) 852-1009
Organization SubpartNo
Authorized OfficialJames L TomarkenCommissioner · (631) 854-0100
Enumeration DateSeptember 8, 2006
Last NPPES UpdateOctober 25, 2012
✔ NPI 1710081922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
550 MONTAUK HWY, Shirley, NY 11967

Other Names 1

Doing Business AsSouth Brookhaven Health Center East

Other Identifiers 2

Medicaid03003683NY
Medicare PINW03311NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Brookhaven Health Center East is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to South Brookhaven Health Center East, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker7
Nurse Practitioner5
Psychiatry5

Clinicians, nearest first (17)

Clinical Social Worker
NPI 1376956623
31 INDUSTRIAL BLVD
Medford, NY 11763
(631) 924-4411
✔ PECOS4.3 mi
Psychiatry
NPI 1285715615
69 SPENCE AVE
Holtsville, NY 11742
(631) 868-0114
✔ PECOS✔ Accepts Medicare8.8 mi
Clinical Social Worker
NPI 1558726349
15 HORSEBLOCK PL
Farmingville, NY 11738
(631) 854-2552
✔ PECOS9.7 mi
Nurse Practitioner
NPI 1972915387
939 JOHNSON AVE
Ronkonkoma, NY 11779
(631) 471-7242
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1285717157
300 CENTER DR
Riverhead, NY 11901
(631) 852-1440
✔ PECOS14 mi
Psychiatry
NPI 1104925890
1841 BRENTWOOD RD
Brentwood, NY 11717
(631) 853-7300
✔ PECOS19 mi
Nurse Practitioner
NPI 1700262854
1841 BRENTWOOD RD
Brentwood, NY 11717
(631) 853-7300
✔ PECOS19 mi
Nurse Practitioner
NPI 1760835037
301 E MAIN ST
Bay Shore, NY 11706
(631) 968-3000
✔ PECOS20 mi
Clinical Social Worker
NPI 1730587866
200 WIRELESS BLVD
Hauppauge, NY 11788
(631) 853-7373
✔ PECOS✔ Accepts Medicare20 mi
Clinical Social Worker
NPI 1639271018
145 COMMACK ROAD
Commack, NY 11725
(631) 245-2495
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1174531396
62 PEARSALL PL
Deer Park, NY 11729
(631) 667-9102
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1538473731
31 SEQUAMS LANE
W. Islip, NY 11795
(631) 669-8377
✔ PECOS✔ Accepts Medicare24 mi
Psychiatry
NPI 1568774537
58 11TH ST
Hicksville, NY 11801
(917) 834-0555
✔ PECOS✔ Accepts Medicare34 mi
Psychiatry
NPI 1780640086
3375 PARK AVE SUITE 3003-1
Wantagh, NY 11793
(516) 469-0638
✔ PECOS✔ Accepts Medicare34 mi
Psychiatry
NPI 1861434532
70 GLEN ST SUITE 102
Glen Cove, NY 11542
(516) 609-9294
✔ PECOS✔ Accepts Medicare40 mi
Clinical Social Worker
NPI 1386172427
156-28 CROSS BAY BLVD.
Howard Beach, NY 11414
(718) 738-6800
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1437436433
1881 NE 26TH ST STE 102
Wilton Manors, FL 33305
(954) 495-8490
✔ PECOS✔ Accepts Medicare1,091 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 County Of Suffolk's NPI number?

The NPI number for County Of Suffolk is 1710081922. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as South Brookhaven Health Center East.

Where is County Of Suffolk located?

County Of Suffolk is located at 550 Montauk Hwy, Shirley, NY 11967. The listed phone number is (631) 852-1000.

What is County Of Suffolk's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is County Of Suffolk enrolled in Medicare?

Yes. County Of Suffolk is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Suffolk?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to County Of Suffolk. 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 Clinical Social Worker (7), Nurse Practitioner (5) and Psychiatry (5). Of these, 3 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 County Of Suffolk was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.