THREE VILLAGE MEDICINE PC
NPI 1982108353
Family Medicine in Port Jefferson, NY
About Three Village Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THREE VILLAGE MEDICINE PC (NPI 1982108353) is a healthcare organization registered as a family medicine in Port Jefferson, New York and active in the NPI registry since March 2018. The organization lists Syed Shabahat Hussain, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Three Village Medicine Pc 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 Three Village Medicine PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Three Village Medicine PC's NPI number?
The NPI number for Three Village Medicine PC is 1982108353. It was assigned to this organization in the NPPES registry on March 21, 2018.
Where is Three Village Medicine PC located?
Three Village Medicine PC is located at 24 Jefferson Landing Cir, Port Jefferson, NY 11777. The listed phone number is (516) 946-0000.
What is Three Village Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Three Village Medicine PC enrolled in Medicare?
Yes. Three Village Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Three Village Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Three Village Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Three Village Medicine PC was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Three Village Medicine Pc · NPI 1982108353
Family Medicine organization in Port Jefferson, New York. Organization record, active in the CMS NPPES registry since March 21, 2018.
## Identity
- **NPI:** 1982108353 (Entity type: Organization)
- **Enumerated:** March 21, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Syed Hussain, CEO
## Practice location
- **Address:** 24 JEFFERSON LANDING CIR, Port Jefferson, NY 11777-1978
- **Phone:** (516) 946-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Hospitalist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1982108353) · Data from the CMS NPPES public registry.