OrganizationActive
Peconic Surgical Group, PC
NPI 1811187214 · Specialist · Riverhead, NY
Peconic Surgical Group, PC is a Specialist organization in Riverhead, NY (NPI 1811187214).
Provider details
- NPI number
- 1811187214
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Leslaw Gredysa, President(631) 369-8539
- License
- 175169 (NY)
Specialties & taxonomies
Other Service Providers
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
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
31 Main Rd
Suite 2
Riverhead, NY 11901-1953
Phone: (631) 369-8539
Fax: (631) 369-5613
Approximate (ZIP-level) locationGet directions
Mailing address
31 Main Rd
Riverhead, NY 11901-1953
Registry dates
- Enumerated
- 2007-07-31
- Last updated
- 2007-11-14
Frequently asked questions
- What is Peconic Surgical Group, PC's NPI number?
- Peconic Surgical Group, PC's National Provider Identifier (NPI) is 1811187214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peconic Surgical Group, PC?
- Peconic Surgical Group, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Peconic Surgical Group, PC located?
- Peconic Surgical Group, PC's practice location on file with NPPES is 31 Main Rd, Riverhead, NY 11901-1953.
- What is Peconic Surgical Group, PC's phone number?
- The practice phone number listed in the NPPES registry for Peconic Surgical Group, PC is (631) 369-8539.
- Who is the authorized official for Peconic Surgical Group, PC?
- The authorized official listed on Peconic Surgical Group, PC's NPPES record is Leslaw Gredysa, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peconic Surgical Group, PC's NPI active?
- Yes — Peconic Surgical Group, PC's NPI (1811187214) is active in the NPPES registry as of the last update on 2007-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.