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PECONIC FAMILY MEDICINE PC
NPI 1720259914
Family Medicine in Quogue, NY

Active since March 17, 2008
33 MONTAUK HWY, QUOGUE, NY 11959(631) 653-6000(631) 653-8310 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Peconic Family Medicine Pc NPPES

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

PECONIC FAMILY MEDICINE PC (NPI 1720259914) is a healthcare organization registered as a family medicine in Quogue, New York and active in the NPI registry since March 2008. The organization lists Lewis Seth Anreder, President, as its authorized official.

NPPES Registry Identity

NPI1720259914
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePECONIC FAMILY MEDICINE PC
Location Address33 MONTAUK HWYQuogue, NY 11959-1555
Mailing AddressPo Box 1555, QuogueNew York, NY 11959-1555 · (631) 653-6000 · Fax (631) 653-8310
Phone(631) 653-6000
Fax(631) 653-8310
Organization SubpartNo
Authorized OfficialLewis Seth AnrederPresident · (631) 653-6000
Enumeration DateMarch 17, 2008
Last NPPES UpdateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1720259914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
33 MONTAUK HWY, Quogue, NY 11959
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peconic Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120229000560Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Peconic Family Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Lori Roughton, NP
Nurse Practitioner
NPI 1649514597
33 MONTAUK HWY BOX 1555
Quogue, NY 11959
(631) 653-6000
✔ PECOSSame address
Lewis Anreder, M.D.
Family Practice
NPI 1609982529
33 MONTAUK HIGHWAY
Quogue, NY 11959
(631) 653-6000
✔ PECOS✔ Accepts MedicareSame address
Maryta Marzano, NP
Nurse Practitioner
NPI 1306499637
181 N BELLE MEAD RD # SUUITE2
East Setauket, NY 11733
(631) 444-6250
✔ PECOS✔ Accepts Medicare26 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 Peconic Family Medicine PC's NPI number?

The NPI number for Peconic Family Medicine PC is 1720259914. It was assigned to this organization in the NPPES registry on March 17, 2008.

Where is Peconic Family Medicine PC located?

Peconic Family Medicine PC is located at 33 Montauk Hwy, Quogue, NY 11959. The listed phone number is (631) 653-6000.

What is Peconic Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peconic Family Medicine PC enrolled in Medicare?

Yes. Peconic Family Medicine PC is registered in the Medicare PECOS enrollment system.

When is Peconic Family Medicine PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Peconic Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Peconic Family Medicine PC, in Family Practice and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peconic Family Medicine PC was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.