SUFFOLK VASCULAR ASSOCIATES, PLLC
NPI 1720059926
Surgery - Vascular Surgery in Port Jefferson Station, NY
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
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)
Suffolk Vascular Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Suffolk Vascular Associates, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is Suffolk Vascular Associates, PLLC enrolled in Medicare?
Yes. Suffolk Vascular Associates, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Suffolk Vascular Associates, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Vascular Surgery, reassign their Medicare billing to Suffolk Vascular Associates, 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 6 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.
# Suffolk Vascular Associates, Pllc · NPI 1720059926
Vascular Surgery organization in Port Jefferson Station, New York. Organization record, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1720059926 (Entity type: Organization)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Robert Pollina, PRESIDENT
## Practice location
- **Address:** 1110 HALLOCK AVE, Port Jefferson Station, NY 11776-1210
- **Phone:** (631) 476-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Vascular Surgery) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720059926) · Data from the CMS NPPES public registry.