PECONIC BAY MEDICAL CENTER
NPI 1710901160
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Riverhead, NY

Active since July 27, 2006
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 548-6000 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peconic Bay Medical Center NPPES

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

PECONIC BAY MEDICAL CENTER (NPI 1710901160) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Riverhead, New York and active in the NPI registry since July 2006. The organization lists Michael O'donnell, Senior Vp For Finace And Cfo, as its authorized official.

NPPES Registry Identity

NPI1710901160
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCENTRAL SUFFOLK HOSPITAL
Location Address1300 ROANOKE AVERiverhead, NY 11901-2031
Mailing Address1300 Roanoke AveRiverhead, NY 11901-2031 · (631) 548-6000
Organization SubpartNo
Authorized OfficialMichael O'donnellSenior Vp For Finace And Cfo · (631) 548-6060
Enumeration DateJuly 27, 2006
Last NPPES UpdateApril 20, 2008
NPI 1710901160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License Licensed in NY · 5155000N
1300 ROANOKE AVE, Riverhead, NY 11901

Other Names 1

Doing Business AsPeconic Bay Medical Center

Other Identifiers 3

Other005225NY · Blue Cross Dialysis
Medicare ID-Type Unspecified332381NY · Dialysis
Medicaid00274328NY

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1300 ROANOKE AVE, DEPARTMENT OF EMERGENCY MEDICINE
RIVERHEAD, NY 11901
Hospitalist
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Acute Care)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Anesthetist, Certified Registered
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Surgery
1300 ROANOKE AVE
RIVERHEAD, NY 11901

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 Central Suffolk Hospital's NPI number?

The NPI number for Central Suffolk Hospital is 1710901160. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Peconic Bay Medical Center.

Where is Central Suffolk Hospital located?

Central Suffolk Hospital is located at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6000.

What is Central Suffolk Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Central Suffolk Hospital was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.