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

Supreme Medical PC

Organization Internal Medicine Physician · NPI 1902965171

Supreme Medical PC is an Internal Medicine Physician in East Setauket, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

100 N Belle Mead Rd Ste D
East Setauket, NY 11733-3530
Phone: (631) 751-8905
Fax: (631) 751-8908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 222728 (NY)

Record details

NPI number1902965171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anjani Kota — President · (631) 751-8905
NPI enumeratedDecember 6, 2006
Last updated in NPPESMarch 3, 2014
Mailing address100 N Belle Mead Rd, Suite D, East Setauket, NY 11733-3530

Other providers in East Setauket