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Three Village Medicine PC

NPI 1982108353ActiveOrganization· Family Medicine· Port Jefferson, NY

Family Medicine in Port Jefferson, New York, registered in NPPES in March 2018. The authorized official on file is Syed Shabahat Hussain, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1982108353
StatusActive
Entity typeOrganization
NPI issuedMar 21, 2018
Last updated in NPPESMar 21, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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