SOUTHSIDE HOSPITAL NPI 1184798977

NPI Information

  • NPI: 1184798977
  • Provider Name: SOUTHSIDE HOSPITAL
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: CENTRAL ISLIP HEALTH CENTER
  • Address: 45 W SUFFOLK AVE
    CENTRAL ISLIP, NY
    ZIP 11722
  • Phone: (631) 853-2710

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NPI Details

SOUTHSIDE HOSPITAL is a primary care clinic center in Central Islip, NY. SOUTHSIDE HOSPITAL NPI is 1184798977. The provider is registered as an organization entity type.
The provider Other Name Is Central Islip Health Center.

The provider's business location address is:

45 W SUFFOLK AVE
CENTRAL ISLIP, NY
ZIP 11722-143
Phone: (631) 853-2710

The provider's authorized official is Douglas A. Riggs .
The authorized official title is Rpac and has the following contact phone number (631) 853-2710.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care006564-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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