Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Suffolk Hosptial

Organization Nurse Practitioner · NPI 1841637741

Central Suffolk Hosptial is a Nurse Practitioner in Riverhead, New York. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone: (631) 548-6101
Fax: (631) 548-6007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1841637741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael O'Donnell — Senior Vp Finance/Cfo · (631) 548-6000
Other names Peconic Bay Medical Center
NPI enumeratedMay 31, 2013
Last updated in NPPESAugust 31, 2016
Mailing address1300 Roanoke Ave, Riverhead, NY 11901-2031

Other providers in Riverhead