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

Suffolk Thoracic Surgery PC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1902297468

Suffolk Thoracic Surgery PC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Port Jefferson, New York. Registered with an NPI since 2015.

In the registry since
2015
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

21 Vantage Ct
Port Jefferson, NY 11777-2242
Phone: (631) 827-8159
Fax: (631) 368-1538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1902297468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathew James — Billing Manager · (631) 827-8159
NPI enumeratedFebruary 5, 2015
Last updated in NPPESFebruary 5, 2015
Mailing address21 Vantage Ct, Port Jefferson, NY 11777-2242

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