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PECONIC GASTROENTEROLOGY PC NPI 1740276898


NPI Information

NPI: 1740276898
Provider Name: PECONIC GASTROENTEROLOGY PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
223 HAMPTON RD
SOUTHAMPTON, NY
ZIP 11968
Phone: (631) 283-0090
Get Directions

PECONIC GASTROENTEROLOGY PC is a gastroenterology internal medicine in Southampton, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PECONIC GASTROENTEROLOGY PC NPI is 1740276898. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

223 HAMPTON RD
SOUTHAMPTON, NY
ZIP 11968-027
Phone: (631) 283-0090
Fax: (631) 287-1037

The provider's authorized official is Kristin Patrick Naso .
The authorized official title is President and has the following contact phone number (631) 283-0090.

The enumeration date for this NPI number is 9/23/2005 and was last updated on 1/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101936089MEDICAIDNEW YORK
2W32371MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.