| Gastroenterology Associates Of Suffolk, P.c. | |
|
931 Hallock Ave Port Jefferson Station NY 11776-1228 | |
| (631) 331-7200 | |
| (631) 331-8636 |
| Full Name | Gastroenterology Associates Of Suffolk, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 931 Hallock Ave, Port Jefferson Station, New York |
| Authorized Official Name and Position | Jennifer Gonzalez (OFFICE MANAGER) |
| Authorized Official Contact | 6313317200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Suffolk, P.c. 931 Hallock Ave Port Jefferson Station NY 11776-1228 Ph: (631) 331-7200 | Gastroenterology Associates Of Suffolk, P.c. 931 Hallock Ave Port Jefferson Station NY 11776-1228 Ph: (631) 331-7200 |
| NPI Number | 1083745566 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 01/28/2026 |
| Medicare PECOS PAC ID | 1153211305 |
|---|---|
| Medicare Enrollment ID | O20040319000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083745566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Zoran Bandovic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174571905 PECOS PAC ID: 9537140371 Enrollment ID: I20040526001717 |
| Provider Name | Matias M Dcosta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053374827 PECOS PAC ID: 2860452190 Enrollment ID: I20041012000970 |
| Provider Name | Shirley Johnson Hall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265591952 PECOS PAC ID: 8820030851 Enrollment ID: I20050531000625 |
| Provider Name | Franco Gallo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871652727 PECOS PAC ID: 8820030307 Enrollment ID: I20110322000254 |
| Provider Name | Charles Anthony Albert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174684773 PECOS PAC ID: 6002858586 Enrollment ID: I20110329000329 |
| Provider Name | Gang He |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164613667 PECOS PAC ID: 5294821914 Enrollment ID: I20131204000479 |
| Provider Name | Karen Michele Matragrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629356571 PECOS PAC ID: 9133346547 Enrollment ID: I20140808000473 |
Harbor Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 206-202-3956 | |
San Roman Fertility Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Rte 347 Ste 43, Port Jefferson Station, NY 11776 Phone: 631-500-2626 Fax: 631-516-3647 | |
Port Jeff Medical Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-642-1100 Fax: 631-642-1190 | |
North Shore Immediate Medical Care P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Patchogue Rd, Port Jefferson Station, NY 11776 Phone: 631-331-1100 Fax: 631-331-0223 | |
Haven Medical Services, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 Route 112, Port Jefferson Station, NY 11776 Phone: 631-473-3304 Fax: 631-474-1692 | |
Aziz Chaudry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2b Medical Park Drive, Port Jefferson Station, NY 11776 Phone: 631-928-1830 Fax: 631-928-1830 |