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SOUTHAMPTON URGENT MEDICAL CARE P C
NPI 1003020017
Specialist in Southampton, NY

Active since May 09, 2007CLIA 33D1011892 · Waiver
609 HAMPTON RD, SOUTHAMPTON, NY 11968(631) 204-9600(631) 204-9606 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southampton Urgent Medical Care P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHAMPTON URGENT MEDICAL CARE P C (NPI 1003020017) is a healthcare organization registered as a specialist in Southampton, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Mark R Kot, Owner Md, as its authorized official.

NPPES Registry Identity

NPI1003020017
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHAMPTON URGENT MEDICAL CARE P C
Location Address609 HAMPTON RDSouthampton, NY 11968-3051
Mailing Address609 Hampton RdSouthampton, NY 11968-3051 · (631) 204-9600 · Fax (631) 204-9606
Phone(631) 204-9600
Fax(631) 204-9606
Organization SubpartNo
Authorized OfficialMark R KotOwner Md · (631) 204-9600
Enumeration DateMay 9, 2007
Last NPPES UpdateJune 3, 2013
✔ NPI 1003020017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 181198
Definition
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.
609 HAMPTON RD, Southampton, NY 11968
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Other Identifiers 2

Medicare UPINF65613NY
Medicare ID-Type UnspecifiedWEM721NY · Medicare Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1011892

Southampton Urgent Medical Care PC · Southampton, NY
Active · expires Oct 1, 2027
CLIA Number33D1011892
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorMark R. Kot
Laboratory Phone(631) 204-9600
Laboratory LocationSouthampton Urgent Medical Care PC609 Hampton Rd, Southampton, NY 11968
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK ROBERT KOT M.D.
General Practice
609 HAMPTON RD
SOUTHAMPTON, NY 11968
Suffolk County (631) 204-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southampton Urgent Medical Care P C's NPI number?

The NPI number for Southampton Urgent Medical Care P C is 1003020017. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Southampton Urgent Medical Care P C located?

Southampton Urgent Medical Care P C is located at 609 Hampton Rd, Southampton, NY 11968. The listed phone number is (631) 204-9600.

What is Southampton Urgent Medical Care P C's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Southampton Urgent Medical Care P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1011892) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southampton Urgent Medical Care P C was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.