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

Michael Suzzivalli

Individual provider Physician Assistant · NPI 1194737973

Michael Suzzivalli is a Physician Assistant in Port Jefferson, New York. Qualified in 2001, 25 years ago. Practices with True North Medical Group PC, a 186-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

635 Belle Terre Rd Ste #204
Port Jefferson, NY 11777-1935
Phone: (631) 474-0008
Fax: (631) 474-0224
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008264 (NY)

Record details

NPI number1194737973
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESJanuary 27, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice True North Medical Group Pc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Port Jefferson