SUFFOLK SURGERY CENTER LLC NPI 1265538151

NPI Information

  • NPI: 1265538151
  • Provider Name: SUFFOLK SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 33D1006566
  • Address: 1500 WILLIAM FLOYD PKWY
    SHIRLEY, NY
    ZIP 11967
  • Phone: (631) 205-9090

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NPI Details

SUFFOLK SURGERY CENTER LLC is an ambulatory surgical clinic center in Shirley, NY. SUFFOLK SURGERY CENTER LLC NPI is 1265538151. The provider is registered as an organization entity type.

The provider's business location address is:

1500 WILLIAM FLOYD PKWY
SHIRLEY, NY
ZIP 11967-800
Phone: (631) 205-9090

The provider's authorized official is Charles A Walters .
The authorized official title is Administrator and has the following contact phone number (631) 205-9090.

The CLIA number assigned to this NPI record is 33D1006566 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Destruction of growth of retina using a laser (HCPCS:67210)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Repair of brow paralysis (HCPCS:67900)
  • Biopsy of small bowel (except ileum) using an endoscope (HCPCS:44361)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)

The enumeration date for this NPI number is 9/16/2006 and was last updated on 6/19/2013.

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
1261QA1903XClinic/CenterAmbulatory Surgical5151207RNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102553208MEDICAIDNEW YORK
2Z62391MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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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