PECONIC CARDIOLOGY, PC
NPI 1932688629
Internal Medicine - Cardiovascular Disease in Riverhead, NY

Active since August 13, 2018
951 ROANOKE AVE, RIVERHEAD, NY 11901(631) 727-7773(631) 727-7832 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2022, Aug 13, 2018 (2 updates tracked since 2018).

About Peconic Cardiology, Pc NPPES

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

PECONIC CARDIOLOGY, PC (NPI 1932688629) is a healthcare organization registered as a cardiovascular disease in Riverhead, New York and active in the NPI registry since August 2018. The organization maintains 10 additional practice locations and lists Michele Lee Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1932688629
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePECONIC CARDIOLOGY, PC
Location Address951 ROANOKE AVERiverhead, NY 11901-2724
Mailing Address951 Roanoke AveRiverhead, NY 11901-2724 · (631) 727-7773 · Fax (631) 727-7832
Fax(631) 727-7832
Organization SubpartNo
Authorized OfficialMichele Lee CusackSenior Vice President & Cfo · (516) 321-6058
Enumeration DateAugust 13, 2018
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1932688629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
951 ROANOKE AVE, Riverhead, NY 11901

Secondary Practice Locations 10

Location 1301 E Main StBay Shore, NY 11706-8408 · Phone (631) 698-3293 · Fax (631) 968-3022
Location 21601 County Road 39Southampton, NY 11968-5295 · Phone (631) 283-2070 · Fax (631) 283-5927
Location 3101 Nicolls RdStony Brook, NY 11794-0001 · Phone (631) 444-1077 · Fax (631) 634-7529
Location 41300 Roanoke AveRiverhead, NY 11901-2031 · Phone (631) 548-6000 · Fax (631) 548-6478
Location 5240 Meeting House LnSouthampton, NY 11968-5009 · Phone (631) 726-8200 · Fax (631) 726-8886
Location 6270 Park AveHuntington, NY 11743-2787 · Phone (631) 351-2000 · Fax (631) 351-2063
Location 7271 Route 25AWading River, NY 11792-2014 · Phone (631) 929-4808 · Fax (631) 929-4745
Location 834 E Montauk Hwy Ste 1Hampton Bays, NY 11946-1866 · Phone (631) 702-8900 · Fax (631) 702-8989
Location 964 County Road 39Southampton, NY 11968-5215 · Phone (631) 702-1000 · Fax (631) 702-1100
Location 1080 E Montauk HwyHampton Bays, NY 11946-1878 · Phone (631) 728-0966 · Fax (631) 594-3310

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

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

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Peconic Cardiology, PC, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 15 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Cardiovascular Disease (Cardiology)9
Interventional Cardiology5
Nurse Practitioner3
Internal Medicine1

Clinicians, nearest first (18)

Cardiovascular Disease (Cardiology)
NPI 1790722304
951 ROANOKE AVE
Riverhead, NY 11901
(631) 727-7773
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083116040
951 ROANOKE AVE
Riverhead, NY 11901
(631) 727-7773
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1598759003
951 ROANOKE AVE
Riverhead, NY 11901
(631) 369-5005
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1396890042
951 ROANOKE AVE
Riverhead, NY 11901
(631) 369-5005
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1265420764
951 ROANOKE AVE
Riverhead, NY 11901
(631) 727-7773
✔ PECOSSame address
Interventional Cardiology
NPI 1497199624
951 ROANOKE AVE
Riverhead, NY 11901
(631) 369-5005
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881479293
951 ROANOKE AVE
Riverhead, NY 11901
(631) 727-7773
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1568450062
951 ROANOKE AVE
Riverhead, NY 11901
(631) 727-7773
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1225488497
951 ROANOKE AVE
Riverhead, NY 11901
(731) 727-7773
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336591213
951 ROANOKE AVENUE
Riverhead, NY 11901
(631) 727-7773
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1457678179
951 ROANOKE AVE
Riverhead, NY 11901
(631) 727-7773
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1669460226
951 ROANOKE AVE
Riverhead, NY 11901
(631) 369-5005
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1184612723
951 ROANOKE AVE
Riverhead, NY 11901
(631) 727-7773
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1033107677
951 ROANOKE AVE
Riverhead, NY 11901
(631) 727-7773
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1437546520
1 HEROES WAY
Riverhead, NY 11901
(631) 800-3738
✔ PECOS✔ Accepts Medicare1.8 mi
Cardiovascular Disease (Cardiology)
NPI 1487943429
850 HICKSVILLE RD STE 104
Seaford, NY 11783
(516) 799-6491
✔ PECOS✔ Accepts Medicare45 mi
Cardiovascular Disease (Cardiology)
NPI 1376589655
310 E SHORE RD SUITE 104
Great Neck, NY 11023
(516) 829-9550
✔ PECOS✔ Accepts Medicare55 mi
Cardiovascular Disease (Cardiology)
NPI 1497160386
4301 W MARKHAM ST # 783
Little Rock, AR 72205
(016) 868-0005
✔ PECOS✔ Accepts Medicare1,153 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 Cardiology, PC's NPI number?

The NPI number for Peconic Cardiology, PC is 1932688629. It was assigned to this organization in the NPPES registry on August 13, 2018.

Where is Peconic Cardiology, PC located?

Peconic Cardiology, PC is located at 951 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 727-7773.

What is Peconic Cardiology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Peconic Cardiology, PC enrolled in Medicare?

Yes. Peconic Cardiology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peconic Cardiology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Peconic Cardiology, PC. 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 Cardiovascular Disease (Cardiology) (9), Interventional Cardiology (5) and Nurse Practitioner (3). Of these, 14 practice at this address and 15 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 Peconic Cardiology, PC was last updated on July 8, 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.