| Suffolk Primary Health, LLC | |
|
170 Old Country Rd Riverhead NY 11901-2198 | |
| (631) 208-4460 | |
| (631) 208-4462 |
| Full Name | Suffolk Primary Health, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 170 Old Country Rd, Riverhead, New York |
| Authorized Official Name and Position | Matisyahu Swerdloff (CEO) |
| Authorized Official Contact | 6312084460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Primary Health, LLC 5308 13th Ave Ste 334 Brooklyn NY 11219-5198 Ph: (631) 208-4460 | Suffolk Primary Health, LLC 170 Old Country Rd Riverhead NY 11901-2198 Ph: (631) 208-4460 |
| NPI Number | 1174965727 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 09/04/2026 |
| Certification Date | 09/04/2026 |
| Medicare PECOS PAC ID | 9436420510 |
|---|---|
| Medicare Enrollment ID | O20170808002088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174965727 | NPI | - | NPPES |
| 5155205R | Other | NY | NYS DOH OPCERT |
| 6361 | Other | NY | NYS FACILITY ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 5155205R (New York) | Primary |
| Provider Name | Scott E Herbert |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124041819 PECOS PAC ID: 8426092495 Enrollment ID: I20050610000810 |
| Provider Name | Doris Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699862151 PECOS PAC ID: 9638212046 Enrollment ID: I20100208000557 |
| Provider Name | Simon Fensterszaub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003077322 PECOS PAC ID: 5890970230 Enrollment ID: I20110428000025 |
| Provider Name | Marcelina Damaso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184058364 PECOS PAC ID: 3173751427 Enrollment ID: I20140111000136 |
| Provider Name | Claudia Salazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134667090 PECOS PAC ID: 5395021455 Enrollment ID: I20181011002175 |
| Provider Name | Thelma Monterroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265786545 PECOS PAC ID: 5193950418 Enrollment ID: I20190102000788 |
| Provider Name | Aliciana Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831653310 PECOS PAC ID: 3870832694 Enrollment ID: I20190221003153 |
| Provider Name | Krysten Vazquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366978702 PECOS PAC ID: 7113256306 Enrollment ID: I20190913000631 |
| Provider Name | Julia Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548899198 PECOS PAC ID: 4082039987 Enrollment ID: I20200810002375 |
| Provider Name | Shyan Jagdeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205459534 PECOS PAC ID: 7810308111 Enrollment ID: I20201117002010 |
| Provider Name | Ryan T Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659828044 PECOS PAC ID: 9335427848 Enrollment ID: I20210208002205 |
| Provider Name | Naomi C Vivanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386216125 PECOS PAC ID: 2860899853 Enrollment ID: I20210917000461 |
| Provider Name | Shivannah Savatri Chiatar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275827115 PECOS PAC ID: 8022273945 Enrollment ID: I20220222001733 |
| Provider Name | Veronica Delarosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700245149 PECOS PAC ID: 1658766647 Enrollment ID: I20220309001121 |
| Provider Name | Mareshah Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740977180 PECOS PAC ID: 7214392299 Enrollment ID: I20230426001352 |
| Provider Name | Elizabeth M Martinez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164562047 PECOS PAC ID: 9234317009 Enrollment ID: I20230606002556 |
| Provider Name | Chadwick J Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205529567 PECOS PAC ID: 3577924455 Enrollment ID: I20230726000581 |
| Provider Name | Guillermina Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861614448 PECOS PAC ID: 3173986403 Enrollment ID: I20230901003081 |
| Provider Name | Sandra Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689002867 PECOS PAC ID: 2668601782 Enrollment ID: I20231130003050 |
| Provider Name | Marlo Karina Castelo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942519061 PECOS PAC ID: 6901079664 Enrollment ID: I20240223002196 |
| Provider Name | Stacey Berroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841063104 PECOS PAC ID: 2365888237 Enrollment ID: I20240313004063 |
| Provider Name | Fatima Malik Malik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366101719 PECOS PAC ID: 5092257709 Enrollment ID: I20240610003192 |
| Provider Name | Ashley M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285478362 PECOS PAC ID: 6406394642 Enrollment ID: I20240819002579 |
| Provider Name | Thamina Salam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528758331 PECOS PAC ID: 3779945936 Enrollment ID: I20240924003573 |
| Provider Name | Jean Omega Fleurgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063276715 PECOS PAC ID: 3678913563 Enrollment ID: I20241015000951 |
| Provider Name | Maricel Cuevas Minaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356159354 PECOS PAC ID: 1658809892 Enrollment ID: I20250115001929 |
| Provider Name | Virleny Polanco Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811705684 PECOS PAC ID: 1850813429 Enrollment ID: I20250324002386 |
| Provider Name | Steven Gold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902548969 PECOS PAC ID: 7517481682 Enrollment ID: I20250410000742 |
| Provider Name | Gehan Liale Morel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982156832 PECOS PAC ID: 1951738079 Enrollment ID: I20250630002189 |
| Provider Name | Maria I Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801463849 PECOS PAC ID: 5092213868 Enrollment ID: I20250811002627 |
| Provider Name | Natalia Gabriela Muniz Lugo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508675539 PECOS PAC ID: 4486152279 Enrollment ID: I20250811003301 |
| Provider Name | Ricardo Quintanilla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083411326 PECOS PAC ID: 1557861895 Enrollment ID: I20250821003954 |
| Provider Name | Tani Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174296636 PECOS PAC ID: 6507368784 Enrollment ID: I20251002000455 |
| Provider Name | Helen Shaar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013707918 PECOS PAC ID: 4587155585 Enrollment ID: I20251118001952 |
| Provider Name | Melissa Carolina Nunez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841781010 PECOS PAC ID: 1951658897 Enrollment ID: I20260128001724 |
Alexis Hugelmeyer, D.O., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1272 E Main St, Riverhead, NY 11901 Phone: 516-761-2500 |
East End Endocrinology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 Main Rd, Suite F, Riverhead, NY 11901 Phone: 631-288-7120 |
Tmh Medical Home PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1274 E Main St, Riverhead, NY 11901 Phone: 631-284-3793 Fax: 631-729-3111 |
Emk Quality Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Old Country Rd Ste 7, Riverhead, NY 11901 Phone: 631-830-4065 Fax: 631-830-4256 |
Opti-healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 883 E Main St, Riverhead, NY 11901 Phone: 631-284-5500 Fax: 631-369-7421 |
Lilly Steel MD PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1267 E Main St, Suite A, Riverhead, NY 11901 Phone: 631-727-7100 Fax: 631-727-6754 |