NORTH OCEAN FAMILY MEDICINE
NPI 1801982822
Family Medicine in Port Jefferson Station, NY

Active since October 05, 2006CLIA 33D1038821 · Waiver
5 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776(631) 732-6984(631) 732-7019 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Ocean Family Medicine NPPES

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

NORTH OCEAN FAMILY MEDICINE (NPI 1801982822) is a healthcare organization registered as a family medicine in Port Jefferson Station, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Cynthia Santiago, President/owner, as its authorized official.

NPPES Registry Identity

NPI1801982822
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH OCEAN FAMILY MEDICINE
Location Address5 ROOSEVELT AVEPort Jefferson Station, NY 11776
Mailing Address5 Roosevelt AvePort Jefferson Station, NY 11776-3336 · (631) 732-6984 · Fax (631) 732-7019
Fax(631) 732-7019
Organization SubpartNo
Authorized OfficialCynthia SantiagoPresident/owner · (631) 732-6984
Enumeration DateOctober 5, 2006
Last NPPES UpdateMay 22, 2014
✔ NPI 1801982822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 217808
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.
5 ROOSEVELT AVE, Port Jefferson Station, NY 11776

Other Identifiers 3

Medicaid02162494NY
Medicare ID-Type UnspecifiedH37637NY
Medicare PINWES071NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Ocean Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1003003856
5 ROOSEVELT AVE
Port Jefferson Station, NY 11776
(631) 732-6984
✔ PECOS✔ Accepts Medicare0.1 mi

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 33D1038821

North Ocean Family Medicine PC · Port Jefferson Station, NY
Active · expires Mar 28, 2027
CLIA Number33D1038821
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorCynthia Santiago, MD
Laboratory Phone(631) 732-6984
Laboratory LocationNorth Ocean Family Medicine PC5 Roosevelt 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.

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 North Ocean Family Medicine's NPI number?

The NPI number for North Ocean Family Medicine is 1801982822. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is North Ocean Family Medicine located?

North Ocean Family Medicine is located at 5 Roosevelt Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 732-6984.

What is North Ocean Family Medicine's specialty?

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

Is North Ocean Family Medicine enrolled in Medicare?

Yes. North Ocean Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Ocean Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to North Ocean Family Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Ocean Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1038821) is associated with this NPI, valid through March 28, 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 North Ocean Family Medicine was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.