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SUFFOLK VASCULAR ASSOCIATES, PLLC
NPI 1720059926
Surgery - Vascular Surgery in Port Jefferson Station, NY

Active since January 27, 2006CLIA 33D2034522 · Waiver
1110 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 476-9100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suffolk Vascular Associates, Pllc NPPES

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

SUFFOLK VASCULAR ASSOCIATES, PLLC (NPI 1720059926) is a healthcare organization registered as a vascular surgery in Port Jefferson Station, New York and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Robert L. Pollina, President, as its authorized official.

NPPES Registry Identity

NPI1720059926
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSUFFOLK VASCULAR ASSOCIATES, PLLC
Location Address1110 HALLOCK AVEPort Jefferson Station, NY 11776-1210
Mailing Address1110 Hallock AvePort Jefferson Station, NY 11776-1210 · (631) 476-9100
Phone(631) 476-9100
Organization SubpartNo
Authorized OfficialRobert L. PollinaPresident · (631) 476-9100
Enumeration DateJanuary 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720059926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1110 HALLOCK AVE, Port Jefferson Station, NY 11776
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2034522

Suffolk Vascular Associates · Port Jefferson Station, NY
Active · expires Dec 27, 2027
CLIA Number33D2034522
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorDr. Robert Pollina
Laboratory Phone(631) 476-9100
Laboratory LocationSuffolk Vascular Associates1110 Hallock Avenue, Port Jefferson Station, NY 11776
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. ROBERT M POLLINA M.D.
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
QUALITY MEDICAL MANAGEMENT CORP
Nurse Anesthetist, Certified Registered
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
MAURICIO SZUCHMACHER M.D.
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
DR. VOLODYMYR LABINSKYY M.D.
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
SUFFOLK MEDICAL SPECIALIST, PLLC
Internal Medicine
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100
MS. DOREEN DELANEY P.A.
Physician Assistant (Surgical)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-9100

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 Suffolk Vascular Associates, PLLC's NPI number?

The NPI number for Suffolk Vascular Associates, PLLC is 1720059926. It was assigned to this organization in the NPPES registry on January 27, 2006.

Where is Suffolk Vascular Associates, PLLC located?

Suffolk Vascular Associates, PLLC is located at 1110 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 476-9100.

What is Suffolk Vascular Associates, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Suffolk Vascular Associates, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2034522) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Suffolk Vascular Associates, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.