SUFFOLK PEDIATRIC PC NPI 1427355775

NPI Information

  • NPI: 1427355775
  • Provider Name: SUFFOLK PEDIATRIC, PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 33D1044250
  • Address: 45 W SUFFOLK AVE
    2ND FLOOR
    CENTRAL ISLIP, NY
    ZIP 11722
  • Phone: (631) 582-2228

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NPI Details

SUFFOLK PEDIATRIC, PC is a pediatrics in Central Islip, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SUFFOLK PEDIATRIC, PC NPI is 1427355775. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

45 W SUFFOLK AVE
2ND FLOOR
CENTRAL ISLIP, NY
ZIP 11722-156
Phone: (631) 582-2228
Fax: (631) 582-4881

The provider's authorized official is David Efrain Sanchez .
The authorized official title is President and has the following contact phone number (631) 582-2228.

The CLIA number assigned to this NPI record is 33D1044250 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 2/23/2011.

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
1207Q00000XFamily Medicine258769-1NEW YORKNo
2208000000XPediatrics215692-1NEW 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
1I02685MEDICARE UPINNEW 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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