Southampton Primacare Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

182616 Issued in NY

Legal business name

SOUTHAMPTON PRIMACARE MEDICAL PC

Practice address

425 County Road 39a
Southampton, NY 11968-5277

Phone

(631) 283-0957

NPI assigned

Aug 19, 2014

Last updated

Sep 4, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Salvatore, D.O.

Title

Owner

Phone

(631) 283-0957

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1013316785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 COUNTY ROAD 39A",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685277",
            "telephone_number": "631-283-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COUNTY ROAD 39A",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685277",
            "telephone_number": "631-283-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON PRIMACARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "SALVATORE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-283-0957",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "182616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southampton Hospital Association
• Southampton Immediate Medical Care PC
• Southampton Medical PC
• Southampton Optiks LTD
• Southampton Physical Therapy PC
• Southampton Pulmonary Med PC
• Southampton Radiology PC
• Southampton Sleep Disorder Center, Inc.
• Southampton Ufsd
• Southampton Urgent Medical Care P C

• Specialist in Southampton, NY
• Providers in Southampton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.