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PECONIC SURGICAL GROUP, PC
NPI 1811187214
Specialist in Riverhead, NY

Active since July 31, 2007
31 MAIN RD, SUITE 2, RIVERHEAD, NY 11901(631) 369-8539(631) 369-5613 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peconic Surgical Group, Pc NPPES

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

PECONIC SURGICAL GROUP, PC (NPI 1811187214) is a healthcare organization registered as a specialist in Riverhead, New York and active in the NPI registry since July 2007. The organization lists Leslaw Josef Gredysa, President, as its authorized official.

NPPES Registry Identity

NPI1811187214
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePECONIC SURGICAL GROUP, PC
Location Address31 MAIN RD, SUITE 2Riverhead, NY 11901-1953
Mailing Address31 Main Rd, Suite 2Riverhead, NY 11901-1953 · (631) 369-8539 · Fax (631) 369-5613
Phone(631) 369-8539
Fax(631) 369-5613
Organization SubpartNo
Authorized OfficialLeslaw Josef GredysaPresident · (631) 369-8539
Enumeration DateJuly 31, 2007
Last NPPES UpdateNovember 14, 2007
✔ NPI 1811187214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 175169
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
31 MAIN RD, Riverhead, NY 11901
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Other Identifiers 1

Medicare PINW9M21NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Peconic Surgical Group, PC's NPI number?

The NPI number for Peconic Surgical Group, PC is 1811187214. It was assigned to this organization in the NPPES registry on July 31, 2007.

Where is Peconic Surgical Group, PC located?

Peconic Surgical Group, PC is located at 31 Main Rd Suite 2, Riverhead, NY 11901. The listed phone number is (631) 369-8539.

What is Peconic Surgical Group, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peconic Surgical Group, PC was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.