Southwest Suffolk Medical, P.C.
NPI 1104096049ActiveOrganization· Surgery, Surgical Oncology· Smithtown, NY
Surgery, Surgical Oncology in Smithtown, New York, registered in NPPES in March 2008. The authorized official on file is Dave M. Hannigan, Manager Of Physicians Bill. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104096049 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2008 |
| Last updated in NPPES | Apr 28, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Surgical Oncology Primary | 2086X0206X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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