Peconic Bay Primary Medical Care
NPI 1487620613 · Internal Medicine Physician · Mattituck, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peconic Bay Primary Medical Care is a Internal Medicine Physician organization in Mattituck, NY (NPI 1487620613).
Provider details
- NPI number
- 1487620613
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael O'Donnell, Cfo(631) 298-4479
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- Same
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2024-05-20
Frequently asked questions
- What is Peconic Bay Primary Medical Care's NPI number?
- Peconic Bay Primary Medical Care's National Provider Identifier (NPI) is 1487620613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peconic Bay Primary Medical Care?
- Peconic Bay Primary Medical Care is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Peconic Bay Primary Medical Care located?
- Peconic Bay Primary Medical Care's practice location on file with NPPES is 13400 Main Rd, Mattituck, NY 11952-3209.
- What is Peconic Bay Primary Medical Care's phone number?
- The practice phone number listed in the NPPES registry for Peconic Bay Primary Medical Care is (631) 298-4008.
- Does Peconic Bay Primary Medical Care accept Medicare?
- Peconic Bay Primary Medical Care 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 Peconic Bay Primary Medical Care?
- The authorized official listed on Peconic Bay Primary Medical Care's NPPES record is Michael O'Donnell, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peconic Bay Primary Medical Care's NPI active?
- Yes — Peconic Bay Primary Medical Care's NPI (1487620613) is active in the NPPES registry as of the last update on 2024-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.