OrganizationActive
County of Suffolk
NPI 1992809107 · Clinic/Center · Coram, NY
Provider details
- NPI number
- 1992809107
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Tomarken, Commissioner(631) 854-0100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 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
82 Middle Country Rd
Coram, NY 11727-4411
Phone: (631) 854-2301
Street-level locationGet directions
Mailing address
P.o. Box 9006
Great River, NY 11739-9006
Other names (DBA / former)
- Doing business as
- Elsie Owens No Brookhaven Health Center
Registry dates
- Enumerated
- 2006-09-08
- Last updated
- 2012-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.