OrganizationActive
Dept. of Health
NPI 1659491975 · Methadone Clinic · Hauppauge, NY
Provider details
- NPI number
- 1659491975
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Martone, Registered Nurse(631) 853-7373
- License
- 376106-1 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
200 Wireless Blvd
Hauppauge, NY 11788-3933
Phone: (631) 853-7373
Fax: (631) 853-7380
Street-level locationGet directions
Mailing address
160 Cherry Ln
Medford, NY 11763-4022
Other names (DBA / former)
- Other name
- Suffolk County
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2008-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.