Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

North Shore - Lij Pediatrics of Suffolk County, PC

Organization Pediatrics Physician · NPI 1255722161

North Shore - Lij Pediatrics of Suffolk County, PC provides Pediatrics Physician services in Islandia, New York. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1770 Motor Pkwy
Islandia, NY 11749-5260
Phone: (516) 823-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1255722161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Cusak — Cfo · (516) 465-8162
NPI enumeratedFebruary 13, 2015
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address600 Community Dr, Manhasset, NY 11030-3802

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