COUNTY OF SUFFOLK NPI 1801990015

NPI Information

  • NPI: 1801990015
  • Provider Name: COUNTY OF SUFFOLK
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: SOUTH BROOKHAVEN HEALTH CENTER WEST
  • Address: 365 E MAIN ST
    PATCHOGUE, NY
    ZIP 11772
  • Phone: (631) 854-1200

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NPI Details

COUNTY OF SUFFOLK is a clinic center in Patchogue, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COUNTY OF SUFFOLK NPI is 1801990015. The provider is registered as an organization entity type.
The provider Is Doing Business As South Brookhaven Health Center West.

The provider's business location address is:

365 E MAIN ST
PATCHOGUE, NY
ZIP 11772-145
Phone: (631) 854-1200
Fax: (631) 854-1310

The provider's authorized official is James L Tomarken .
The authorized official title is Commissioner and has the following contact phone number (631) 854-0100.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 10/25/2012.

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
1261Q00000XClinic/CenterYes

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
103003692MEDICAIDNEW YORK
2W02561MEDICARE PINNEW 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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