PECONIC BAY MEDICAL CENTER - NPI 1841637741 - Nurse Practitioner in Riverhead, NY

Q: What is Central Suffolk Hosptial's NPI number?

The NPI number for Central Suffolk Hosptial is 1841637741. It was assigned to this organization in the NPPES registry on May 31, 2013. The provider is doing business as Peconic Bay Medical Center.

Q: What is Central Suffolk Hosptial's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Peconic Bay Medical Center NPPES

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

PECONIC BAY MEDICAL CENTER (NPI 1841637741) is a healthcare organization registered as a nurse practitioner in Riverhead, New York and active in the NPI registry since May 2013. The organization lists Michael O'donnell, Senior Vp Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1841637741

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameCENTRAL SUFFOLK HOSPTIAL

Location Address1300 ROANOKE AVERiverhead, NY 11901-2031

Mailing Address1300 Roanoke AveRiverhead, NY 11901-2031 · (631) 548-6101 · Fax (631) 548-6007

Phone(631) 548-6101

Fax(631) 548-6007

Organization SubpartNo

Authorized OfficialMichael O'donnellSenior Vp Finance/cfo · (631) 548-6000

Enumeration DateMay 31, 2013

Last NPPES UpdateAugust 31, 2016

✔ NPI 1841637741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1300 ROANOKE AVE, 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 20

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

DR. DONG WON CHOE M.D.

Emergency Medicine

1300 ROANOKE AVE, DEPARTMENT OF EMERGENCY MEDICINE
RIVERHEAD, NY 11901

Suffolk County (631) 548-6200

CENTRAL SUFFOLK HOSPITAL

Hospitalist