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SUFFOLK OBGYN LLP
NPI 1982790192
Obstetrics & Gynecology in Port Jefferson, NY

Active since October 05, 2006CLIA 33D0158843 · Waiver
118 NORTH COUNTRY ROAD, PORT JEFFERSON, NY 11777(631) 473-7171(631) 473-4605 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Suffolk Obgyn Llp NPPES

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

SUFFOLK OBGYN LLP (NPI 1982790192) is a healthcare organization registered as an obstetrics & gynecology in Port Jefferson, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 31, 2026 and lists Alex Sreter, Practice Administration, as its authorized official.

NPPES Registry Identity

NPI1982790192
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSUFFOLK OBGYN LLP
Location Address118 NORTH COUNTRY ROADPort Jefferson, NY 11777
Mailing Address118 North Country RoadPort Jefferson, NY 11777 · (631) 473-7171 · Fax (631) 473-4605
Phone(631) 473-7171
Fax(631) 473-4605
Organization SubpartNo
Authorized OfficialAlex SreterPractice Administration · (631) 473-7171
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 22, 2010
✔ NPI 1982790192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

118 NORTH COUNTRY ROAD, Port Jefferson, NY 11777
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Other Identifiers 2

OtherCC3107Railroad Medicare
Medicare PINW9L861NY

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0158843

Nshoa New York Health Port Jefferson Obgyn · Port Jefferson, NY
Active · expires Jul 31, 2026
CLIA Number33D0158843
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Lance H. Edwards
Laboratory Phone(631) 663-4861
Laboratory LocationNshoa New York Health Port Jefferson Obgyn118 North Country Road, Port Jefferson, NY 11777
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MINDY LYNN SHAFFRAN
Obstetrics & Gynecology
118 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171
CAROL ELIZABETH BONURA NP
Nurse Practitioner
118 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171
STEPHEN GOLUB MD
Obstetrics & Gynecology (Gynecology)
118 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171

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 Suffolk Obgyn LLP's NPI number?

The NPI number for Suffolk Obgyn LLP is 1982790192. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Suffolk Obgyn LLP located?

Suffolk Obgyn LLP is located at 118 North Country Road, Port Jefferson, NY 11777. The listed phone number is (631) 473-7171.

What is Suffolk Obgyn LLP's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Suffolk Obgyn LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0158843) is associated with this NPI, valid through July 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Suffolk Obgyn LLP was last updated on July 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.