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

Peconic Bay Primary Medical Care

Organization Internal Medicine Physician · NPI 1487620613

Peconic Bay Primary Medical Care is an Internal Medicine Physician in Mattituck, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

13400 Main Rd
Mattituck, NY 11952-3209
Phone: (631) 298-4008
Fax: (631) 298-5969
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1487620613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael O'Donnell — Cfo · (631) 298-4479
Other names Same
NPI enumeratedFebruary 27, 2006
Last updated in NPPESMay 20, 2024
Mailing addressPo Box 2377, Riverhead, NY 11901-2108

Other providers in Mattituck