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MEETING HOUSE LANE MEDICAL PRACTICE PC
NPI 1902088495
Internal Medicine in Southampton, NY

Active since November 27, 2007CLIA 33D2060531 · Microscopy
57 HAMPTON RD, SUITE 201, SOUTHAMPTON, NY 11968(631) 283-2430(631) 283-7496 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Meeting House Lane Medical Practice Pc NPPES

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

MEETING HOUSE LANE MEDICAL PRACTICE PC (NPI 1902088495) is a healthcare organization registered as an internal medicine in Southampton, New York and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Fredrick I Weinbaum, President, as its authorized official.

NPPES Registry Identity

NPI1902088495
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEETING HOUSE LANE MEDICAL PRACTICE PC
Location Address57 HAMPTON RD, SUITE 201Southampton, NY 11968-4973
Mailing Address57 Hampton Rd, Suite 201Southampton, NY 11968-4973 · (631) 283-2430 · Fax (631) 283-7496
Phone(631) 283-2430
Fax(631) 283-7496
Organization SubpartNo
Authorized OfficialFredrick I WeinbaumPresident · (631) 726-8332
Enumeration DateNovember 27, 2007
Last NPPES UpdateNovember 10, 2016
✔ NPI 1902088495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
57 HAMPTON RD, Southampton, NY 11968
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Other Identifiers 2

Medicaid031402436NY
Medicare PINWYRRX1NY

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meeting House Lane Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

134

Medicare enrollment records show 134 clinicians reassign Medicare billing to Meeting House Lane Medical Practice PC, which bills Medicare for the services they deliver. Of these, 64 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Emergency Medicine26
Internal Medicine20
Family Practice19
Nurse Practitioner17
General Surgery5
Neurology5
Registered Dietitian or Nutrition Professional4
Urology4
18 other specialties34

Nearest to this location (20)

See all 134
Steven Sobey, M.D.
Urology
NPI 1114201274
117 HAMPTON RD
Southampton, NY 11968
(631) 287-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Munkelwitz, MD
Urology
NPI 1578518627
117 HAMPTON RD
Southampton, NY 11968
(631) 287-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Ameres, MD
Emergency Medicine
NPI 1003839127
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 537-0318
✔ PECOS✔ Accepts Medicare0.4 mi
Darin Wiggins, MD
Emergency Medicine
NPI 1043224173
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 726-8420
✔ PECOS✔ Accepts Medicare0.4 mi
Charles Arcoleo, MD
Internal Medicine
NPI 1770659054
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 726-8200
✔ PECOS✔ Accepts Medicare0.4 mi
David Capone, DO
Internal Medicine
NPI 1629385174
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 726-8200
✔ PECOS0.4 mi
Kristen Forte, ANP-BC, CRNFA
Nurse Practitioner
NPI 1528104213
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 726-3210
✔ PECOS✔ Accepts Medicare0.4 mi
Sarah Gardella, MS RD CDN
Registered Dietitian or Nutrition Professional
NPI 1275347254
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 726-8247
✔ Accepts Medicare0.4 mi
Edna Kapenhas, MD
General Surgery
NPI 1386627321
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 726-8300
✔ PECOS✔ Accepts Medicare0.4 mi
Sony Modayil, DO
Hospice/Palliative Care
NPI 1154764298
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 726-8300
✔ PECOS✔ Accepts Medicare0.4 mi
James Moore, M.D.
Orthopedic Surgery
NPI 1386704575
240 MEETING HOUSE LN SURGICAL SUITE
Southampton, NY 11968
(631) 726-8717
✔ PECOS✔ Accepts Medicare0.4 mi
Sabrina Trammel, D.O.
Family Practice
NPI 1679935092
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 726-8200
✔ PECOS✔ Accepts Medicare0.4 mi
Konstadinos Spyris, D.O.
Hospitalist
NPI 1003115999
240 MEETING HOUSE LN
Southampton, NY 11968
(631) 560-3219
✔ PECOS✔ Accepts Medicare0.4 mi
Amy Dalton, DO
Nephrology
NPI 1144742917
325 MEETING HOUSE LANE BLDG. 2 SUITE 301
Southampton, NY 11968
(631) 283-4048
✔ PECOS✔ Accepts Medicare0.5 mi
Kashif Hussain, M.D.
Pulmonary Disease
NPI 1154462513
325 MEETING HOUSE LN STE 302
Southampton, NY 11968
(631) 283-8008
✔ PECOS✔ Accepts Medicare0.5 mi
Ana Martinez-Tapia, MD
Gastroenterology
NPI 1225565864
325 MEETING HOUSE LANE BLDG 2 SUITE 405
Southampton, NY 11968
(631) 283-5555
✔ PECOS✔ Accepts Medicare0.5 mi
Olga Mcabee, MD
Neurology
NPI 1134385909
325 MEETING HOUSE LN BLDG #2 1ST SUITE 301
Southampton, NY 11968
(631) 283-4048
✔ PECOS✔ Accepts Medicare0.5 mi
Eric Sin, M.D.
Infectious Disease
NPI 1750708749
325 MEETING HOUSE LANE BLDG 2 SUITE 302
Southampton, NY 11968
(631) 283-8008
✔ PECOS✔ Accepts Medicare0.5 mi
Paul Garson, M.D.
Psychiatry
NPI 1124034392
325 MEETING HOUSE LN BUILDING #2
Southampton, NY 11968
(631) 283-2100
✔ PECOS✔ Accepts Medicare0.5 mi
James Brady, M.D.
Plastic and Reconstructive Surgery
NPI 1053462937
686 COUNTY ROAD 39A BUILDING 2
Southampton, NY 11968
(631) 287-0711
✔ PECOS✔ Accepts Medicare1.0 mi
See all 134 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 33D2060531

Meeting House Lane Medical Practice PC · Southampton, NY
Active · expires Mar 26, 2027
CLIA Number33D2060531
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 6, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Charles Guida
Laboratory Phone(631) 283-2100
Laboratory LocationMeeting House Lane Medical Practice PC325 Meeting House Lane - Bldg 2 Ste 403, Southampton, NY 11969
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Meeting House Lane Medical Practice PC's NPI number?

The NPI number for Meeting House Lane Medical Practice PC is 1902088495. It was assigned to this organization in the NPPES registry on November 27, 2007.

Where is Meeting House Lane Medical Practice PC located?

Meeting House Lane Medical Practice PC is located at 57 Hampton Rd Suite 201, Southampton, NY 11968. The listed phone number is (631) 283-2430.

What is Meeting House Lane Medical Practice PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Meeting House Lane Medical Practice PC enrolled in Medicare?

Yes. Meeting House Lane Medical Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meeting House Lane Medical Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 134 clinicians in 26 Medicare specialties reassign their Medicare billing to Meeting House Lane Medical Practice PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (26), Internal Medicine (20) and Family Practice (19). Of these, 64 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Meeting House Lane Medical Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2060531) is associated with this NPI, valid through March 26, 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 Meeting House Lane Medical Practice PC was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.