Quality Medical Management Corp
NPI 1114502606 · Certified Registered Nurse Anesthetist · Port Jefferson Station, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Quality Medical Management Corp is a Certified Registered Nurse Anesthetist organization in Port Jefferson Station, NY (NPI 1114502606).
Provider details
- NPI number
- 1114502606
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mike Reens, Authorized Official(631) 446-1190
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 160 Howells Rd Ste 16Bay Shore, NY 11706-5320Phone: (631) 446-1190
- 1324 Motor Pkwy Ste 101Islandia, NY 11749-5226Phone: (631) 979-0222
- 1149 Old Country RdRiverhead, NY 11901-2057Phone: (631) 591-9003
Registry dates
- Enumerated
- 2021-03-16
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Frequently asked questions
- What is Quality Medical Management Corp's NPI number?
- Quality Medical Management Corp's National Provider Identifier (NPI) is 1114502606, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Quality Medical Management Corp?
- Quality Medical Management Corp is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Quality Medical Management Corp located?
- Quality Medical Management Corp's practice location on file with NPPES is 1110 Hallock Ave, Port Jefferson Station, NY 11776-1210.
- What is Quality Medical Management Corp's phone number?
- The practice phone number listed in the NPPES registry for Quality Medical Management Corp is (631) 476-9100.
- Does Quality Medical Management Corp accept Medicare?
- Quality Medical Management Corp 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 Quality Medical Management Corp?
- The authorized official listed on Quality Medical Management Corp's NPPES record is Mike Reens, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Quality Medical Management Corp's NPI active?
- Yes — Quality Medical Management Corp's NPI (1114502606) is active in the NPPES registry as of the last update on 2021-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.