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SOUTHAMPTON MEDICAL PC
NPI 1467666461
Specialist in Southampton, NY

Active since May 09, 2007
425 COUNTY ROAD 39A, SUITE 201, SOUTHAMPTON, NY 11968(631) 283-4048(631) 283-5396 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southampton Medical Pc NPPES

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

SOUTHAMPTON MEDICAL PC (NPI 1467666461) is a healthcare organization registered as a specialist in Southampton, New York and active in the NPI registry since May 2007. The organization lists Shobha R Patel, Owner Md, as its authorized official.

NPPES Registry Identity

NPI1467666461
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHAMPTON MEDICAL PC
Location Address425 COUNTY ROAD 39A, SUITE 201Southampton, NY 11968-5277
Mailing Address425 County Road 39a, Suite 201Southampton, NY 11968-5277 · (631) 283-4048 · Fax (631) 283-5396
Phone(631) 283-4048
Fax(631) 283-5396
Organization SubpartNo
Authorized OfficialShobha R PatelOwner Md · (631) 283-4048
Enumeration DateMay 9, 2007
Last NPPES UpdateNovember 5, 2007
✔ NPI 1467666461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 203693
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.
425 COUNTY ROAD 39A, Southampton, NY 11968
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Other Identifiers 4

Medicaid01837663NY
Medicare PIN21N631NY
Medicare UPING45788NY
Medicare PINWGC601NY

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

Other Providers at the Same Location NPPES 2

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

SOUTHAMPTON PRIMACARE MEDICAL PC
Specialist
425 COUNTY ROAD 39A
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-0957
OUT EAST OCCUPATIONAL THERAPY
Home Health
425 COUNTY ROAD 39A, STE 204
SOUTHAMPTON, NY 11968
Suffolk County (631) 375-5313

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 Medical PC's NPI number?

The NPI number for Southampton Medical PC is 1467666461. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Southampton Medical PC located?

Southampton Medical PC is located at 425 County Road 39A Suite 201, Southampton, NY 11968. The listed phone number is (631) 283-4048.

What is Southampton Medical PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southampton Medical PC was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.