1. Home
  2. Directory
  3. New York
  4. Riverhead
  5. Nurse Practitioner
  6. NPI Profile

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

Active since May 31, 2013
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 548-6101(631) 548-6007 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: October 18, 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 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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peconic Bay Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

134

Medicare enrollment records show 134 clinicians reassign Medicare billing to Peconic Bay Medical Center, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Internal Medicine35
Hospitalist32
Family Practice22
Nurse Practitioner18
Obstetrics/Gynecology5
Vascular Surgery5
Pulmonary Disease3
Critical Care (Intensivists)2
9 other specialties12

Nearest to this location (20)

See all 134
Carolyn Alvarez, MD
Hospitalist
NPI 1972127306
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 727-1600
✔ PECOS✔ Accepts MedicareSame address
Mariam Atia, DO
Family Practice
NPI 1790247005
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 727-1600
✔ PECOS✔ Accepts MedicareSame address
Guirlaine Blot-Sanon, D.O
Family Practice
NPI 1588818504
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts MedicareSame address
Jaclyn Chotowicky
Nurse Practitioner
NPI 1104591437
1300 ROANOKE AVE
Riverhead, NY 11901
(516) 661-1721
✔ PECOS✔ Accepts MedicareSame address
Benjamin Dalton, DO
Internal Medicine
NPI 1366961054
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6000
✔ PECOS✔ Accepts MedicareSame address
Donna Hagon, NP
Nurse Practitioner
NPI 1508171646
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 566-4003
✔ PECOS✔ Accepts MedicareSame address
Jennifer Higa, DO, MPH
Internal Medicine
NPI 1366899221
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6446
✔ PECOS✔ Accepts MedicareSame address
Michael Kim, D.O.
Family Practice
NPI 1891172722
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6000
✔ PECOS✔ Accepts MedicareSame address
Aleksandra Nappo, NP
Nurse Practitioner
NPI 1477857845
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 901-6330
✔ PECOS✔ Accepts MedicareSame address
Conor Parks, D.O.
Family Practice
NPI 1265852628
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts MedicareSame address
Vaibhavi Patel, MD
Hospitalist
NPI 1306424585
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6000
✔ PECOS✔ Accepts MedicareSame address
Minakshi Rajpoot
Nurse Practitioner
NPI 1851715007
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts MedicareSame address
Maureen Ruga, NP
Nurse Practitioner
NPI 1255645347
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts MedicareSame address
Lindsey Semprini, M.D.
Internal Medicine
NPI 1639529696
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6176
✔ PECOS✔ Accepts MedicareSame address
William Kornrich, MD
Internal Medicine
NPI 1144332198
887 OLD COUNTRY RD SUITE A
Riverhead, NY 11901
(631) 727-6122
✔ PECOS✔ Accepts Medicare0.2 mi
Lawrence Walser, M.D.
Pulmonary Disease
NPI 1669486023
185 OLD COUNTRY RD SUITE 3
Riverhead, NY 11901
(631) 727-2523
✔ PECOS✔ Accepts Medicare1.2 mi
Cynthia Cichanowicz, ANP-C
Nurse Practitioner
NPI 1194892224
1333 E MAIN ST
Riverhead, NY 11901
(631) 727-8827
✔ PECOS✔ Accepts Medicare1.3 mi
Stephen John, M.D.
Family Practice
NPI 1942481056
100 CENTER DR RIVERHEAD CORRECTIONAL FACILITY; JAIL MEDICAL UNIT
Riverhead, NY 11901
(631) 852-1989
✔ PECOS✔ Accepts Medicare1.4 mi
Evan Nadal, DO
Internal Medicine
NPI 1619946548
34 COMMERCE DR SUITE 1
Riverhead, NY 11901
(631) 727-1600
✔ PECOS✔ Accepts Medicare1.5 mi
Marie-Jose Dorval-Dorcely, M.D
Hospitalist
NPI 1093894446
300 CENTER DR
Riverhead, NY 11901
(631) 852-1800
✔ PECOS✔ Accepts Medicare1.5 mi
See all 134 clinicians

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 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.

Where is Central Suffolk Hosptial located?

Central Suffolk Hosptial is located at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6101.

What is Central Suffolk Hosptial's specialty?

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

Is Central Suffolk Hosptial enrolled in Medicare?

Yes. Central Suffolk Hosptial is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Suffolk Hosptial?

According to the CMS Revalidation Reassignment List (October 2026 release), 134 clinicians in 17 Medicare specialties reassign their Medicare billing to Central Suffolk Hosptial. 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. The largest specialties are Internal Medicine (35), Hospitalist (32) and Family Practice (22). Of these, 14 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Suffolk Hosptial was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.