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PECONIC BAY MEDICAL CENTER
NPI 1720120686
Physician Assistant - Medical in Riverhead, NY

Active since February 13, 2007
31 MAIN RD, RIVERHEAD, NY 11901(631) 722-4400(631) 722-4426 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 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 1720120686) is a healthcare organization registered as a medical in Riverhead, New York and active in the NPI registry since February 2007. The organization lists Nirupa Ramjisingh, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1720120686
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameEAST END FAMILY PRACTICE
Location Address31 MAIN RDRiverhead, NY 11901-1953
Mailing Address31 Main RdRiverhead, NY 11901-1953 · (631) 722-4400 · Fax (631) 722-4426
Phone(631) 722-4400
Fax(631) 722-4426
Organization SubpartNo
Authorized OfficialNirupa RamjisinghPhysician Assistant · (631) 722-4400
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720120686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 010331
31 MAIN RD, Riverhead, NY 11901
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Other Names 1

Doing Business AsPeconic Bay Medical Center

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

Other Providers at the Same Location NPPES 17

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

MRS. NICOLE MARIE MARKY NP
Nurse Practitioner
31 MAIN RD
RIVERHEAD, NY 11901
Suffolk County (631) 722-4400
TAMARA GORELIK
Family Medicine
31 MAIN RD
RIVERHEAD, NY 11901
Suffolk County (631) 722-4400
DR. LESLAW J GREDYSA MD
Surgery (Vascular Surgery)
31 MAIN RD, SUITE 2
RIVERHEAD, NY 11901
Suffolk County (631) 369-8539
KEVIN LOEBER PA-C
Physician Assistant
31 MAIN RD
RIVERHEAD, NY 11901
Suffolk County (631) 727-6308
MARINA HOMECARE AGENCY OF NY, INC.
Home Health
31 MAIN RD, SUITE 9
RIVERHEAD, NY 11901
Suffolk County (631) 369-6080
PETER G SULTAN MD PC
Orthopaedic Surgery
31 MAIN RD, SUITE 3
RIVERHEAD, NY 11901
Suffolk County (631) 727-6308
DR. KAUSHIK SATYANARAYANA MANTHANI D.O.
Family Medicine
31 MAIN RD, SUITE 1
RIVERHEAD, NY 11901
Suffolk County (631) 722-4400
MARC P WAHL PT
Physical Therapist
31 MAIN RD, SUITE 4
RIVERHEAD, NY 11901
Suffolk County (631) 208-2900

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 East End Family Practice's NPI number?

The NPI number for East End Family Practice is 1720120686. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Peconic Bay Medical Center.

Where is East End Family Practice located?

East End Family Practice is located at 31 Main Rd, Riverhead, NY 11901. The listed phone number is (631) 722-4400.

What is East End Family Practice's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for East End Family Practice 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.