NORTH SUFFOLK NEUROLOGY PC NPI 1316335540

NPI Information

  • NPI: 1316335540
  • Provider Name: NORTH SUFFOLK NEUROLOGY, PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 33D2246401
  • Address: 5 MEDICAL DR
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Phone: (631) 364-9119

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NPI Details

NORTH SUFFOLK NEUROLOGY, PC is a medical specialty clinic center in Port Jefferson Station, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTH SUFFOLK NEUROLOGY, PC NPI is 1316335540. The provider is registered as an organization entity type.

The provider's business location address is:

5 MEDICAL DR
PORT JEFFERSON STATION, NY
ZIP 11776-601
Phone: (631) 364-9119
Fax: (631) 364-9118

The provider's authorized official is Warren Daniel Spinner .
The authorized official title is Chief Executive Officer/med. Dir. and has the following contact phone number (631) 942-2516.

The CLIA number assigned to this NPI record is 33D2246401 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2014 and was last updated on 12/13/2016.

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
1261QM2500XClinic/CenterMedical Specialty242921NEW 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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