Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Patchogue Pediatrics PC

Organization Pediatrics Physician · NPI 1396178000

Patchogue Pediatrics PC provides Pediatrics Physician services in East Patchogue, New York. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

264 Sills Rd
East Patchogue, NY 11772-8804 Not confirmed with CMS for 13 years — call before visiting
Phone: (631) 504-6261
Fax: (631) 504-6263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1396178000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Chong-Gayle — President · (631) 504-6261
NPI enumeratedAugust 16, 2013
Last updated in NPPESAugust 16, 2013
Mailing address264 Sills Rd, East Patchogue, NY 11772-8804

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