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  5. CENTRAL SUFFOLK HOSPITAL

CENTRAL SUFFOLK HOSPITAL

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Company Details

Name: CENTRAL SUFFOLK HOSPITAL
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 07 Nov 1945 (80 years ago)
Entity Number: 46179
ZIP code: 11901
County: Suffolk
Place of Formation: New York
Address: ATTENTION: PRESIDENT, 1300 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901

Contact Details

Phone +1 631-245-6432

Phone +1 631-548-6000

Phone +1 631-548-6101

Agent

Name Role Address
CENTRAL SUFFOLK HOSPITAL ASSOCIATION Agent 1300 ROANOKE AVE., RIVERHEAD, NY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTENTION: PRESIDENT, 1300 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901

Unique Entity ID

Unique Entity ID:
CG83RZZR2Q89
UEI Expiration Date:
2026-06-23

Business Information

Division Name:
CENTRAL SUFFOLK HOSPITAL D.B.A. PECONIC BAY MEDICAL CENTER
Division Number:
CENTRAL SU
Activation Date:
2025-06-25
Initial Registration Date:
2022-07-05

Commercial and government entity program

CAGE number:
8R1U5
Status:
Active With Restraint
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-03
CAGE Expiration:
2025-12-31

Contact Information

POC:
DARRIEN GARAY

National Provider Identifier

NPI Number:
1043402050
Link:
View on NPI website

Authorized Person:

Name:
ANDREW MITCHELL
Role:
PRESIDENT/CEO
Phone:
6315486064

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Phone:
+1 631-548-6116
Fax:
6315486007

Form 5500 Series

Employer Identification Number (EIN):
111661359
Plan Year:
2010
Number Of Participants:
474
Sponsors Telephone Number:
6315486000
Plan Year:
2010
Number Of Participants:
381
Sponsors Telephone Number:
6315486000
Plan Year:
2010
Number Of Participants:
407
Sponsors Telephone Number:
6315486000
Plan Year:
2010
Number Of Participants:
474
Sponsors Telephone Number:
6315486000
File:
View File
Plan Year:
2010
Number Of Participants:
381
Sponsors Telephone Number:
6315486000
File:
View File

History

Start date End date Type Value
2015-12-10 2016-01-14 Address ATTENTION: PRESIDENT, 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
2009-04-02 2015-12-10 Address 1300 ROANOKE AVENUE, ATTN: PRESIDENT, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
2006-06-09 2009-04-02 Address ATTN: PRESIDENT, 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
1998-12-14 2006-06-09 Address ATTN: PRESIDENT, 1300 ROANOKE AVE., RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
1982-12-31 1998-12-14 Address 1300 ROANOKE AVE., RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160114000327 2016-01-14 CERTIFICATE OF AMENDMENT 2016-01-14
151210000514 2015-12-10 CERTIFICATE OF AMENDMENT 2015-12-10
090402000709 2009-04-02 CERTIFICATE OF AMENDMENT 2009-04-02
060609000195 2006-06-09 CERTIFICATE OF AMENDMENT 2006-06-09
981214000289 1998-12-14 CERTIFICATE OF AMENDMENT 1998-12-14

USAspending Awards / Financial Assistance

Date:
2010-09-27
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CARE AND OTHER FACILITIES
Obligated Amount:
99000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

OSHA's Inspections within Industry

Inspection Summary

Date:
1995-07-13
Type:
Complaint
Address:
1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1994-10-27
Type:
FollowUp
Address:
1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1993-03-22
Type:
Planned
Address:
1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Safety Health:
Health
Scope:
Complete
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1990-08-29
Type:
Complaint
Address:
1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1990-07-05
Type:
Complaint
Address:
1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Tax Exempt

Employer Identification Number (EIN) :
11-1661359
In Care Of Name:
% NORTHWELL HEALTH INC
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1952-04
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Court Cases

Court Case Summary

Filing Date:
2005-04-14
Status:
Terminated
Nature Of Judgment:
Missing
Jury Demand:
Missing
Nature Of Suit:
Antitrust

Parties

Party Name:
CENTRAL SUFFOLK HOSPITAL
Party Role:
Plaintiff
Party Name:
FERRING B.V.
Party Role:
Defendant

Court Case Summary

Filing Date:
2004-07-12
Status:
Terminated
Nature Of Judgment:
Missing
Jury Demand:
Missing
Nature Of Suit:
Civil Rights Employment

Parties

Party Name:
MACKLIN
Party Role:
Plaintiff
Party Name:
MACKLIN & CO. LLC
Party Role:
Plaintiff
Party Name:
CENTRAL SUFFOLK HOSPITAL
Party Role:
Defendant

Court Case Summary

Filing Date:
2003-04-15
Status:
Terminated
Nature Of Judgment:
Missing
Jury Demand:
Missing
Nature Of Suit:
Civil Rights Employment

Parties

Party Name:
HOPE
Party Role:
Plaintiff
Party Name:
CENTRAL SUFFOLK HOSPITAL
Party Role:
Defendant
Party Name:
HOPE LLC
Party Role:
Plaintiff

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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