SOUTHAMPTON MEDICAL PC NPI 1467666461

NPI Information

  • NPI: 1467666461
  • Provider Name: SOUTHAMPTON MEDICAL PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 425 COUNTY ROAD 39A
    SUITE 201
    SOUTHAMPTON, NY
    ZIP 11968
  • Phone: (631) 283-4048

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NPI Details

SOUTHAMPTON MEDICAL PC is a specialist in Southampton, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHAMPTON MEDICAL PC NPI is 1467666461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 COUNTY ROAD 39A
SUITE 201
SOUTHAMPTON, NY
ZIP 11968-277
Phone: (631) 283-4048
Fax: (631) 283-5396

The provider's authorized official is Shobha R Patel .
The authorized official title is Owner Md and has the following contact phone number (631) 283-4048.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 11/5/2007.

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
1174400000XSpecialist203693NEW YORKYes

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
101837663MEDICAIDNEW YORK
221N631MEDICARE PINNEW YORK
3G45788MEDICARE UPINNEW YORK
4WGC601MEDICARE 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: 11/21/2025

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