Southwest Suffolk Medical, P.C.
NPI 1104096049 · Surgical Oncology Physician · Smithtown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southwest Suffolk Medical, P.C. is a Surgical Oncology Physician organization in Smithtown, NY (NPI 1104096049).
Provider details
- NPI number
- 1104096049
- Entity type
- Organization
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dave Hannigan, Manager of Physicians Bill(631) 224-8533
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-03-06
- Last updated
- 2008-04-28
Frequently asked questions
- What is Southwest Suffolk Medical, P.C.'s NPI number?
- Southwest Suffolk Medical, P.C.'s National Provider Identifier (NPI) is 1104096049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest Suffolk Medical, P.C.?
- Southwest Suffolk Medical, P.C. is classified in the NPPES registry as Surgical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Southwest Suffolk Medical, P.C. located?
- Southwest Suffolk Medical, P.C.'s practice location on file with NPPES is 48 Route 25a, Smithtown, NY 11787-1431.
- What is Southwest Suffolk Medical, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Southwest Suffolk Medical, P.C. is (631) 862-3000.
- Does Southwest Suffolk Medical, P.C. accept Medicare?
- Southwest Suffolk Medical, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southwest Suffolk Medical, P.C.?
- The authorized official listed on Southwest Suffolk Medical, P.C.'s NPPES record is Dave Hannigan, Manager of Physicians Bill. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest Suffolk Medical, P.C.'s NPI active?
- Yes — Southwest Suffolk Medical, P.C.'s NPI (1104096049) is active in the NPPES registry as of the last update on 2008-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.