Peconic Pathology Associates, P.C.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PECONIC PATHOLOGY ASSOCIATES, P.C.

Practice address

201 Manor PL
Eastern Long Island Hospital
Greenport, NY 11944-1222

Phone

(631) 548-6146

Fax

(631) 548-6150

NPI assigned

Apr 11, 2007

Last updated

Sep 25, 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

Dr. Ranjana Mathur, M.D.NPI 1801994868

Title

President

Phone

(516) 248-5245

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ranjana Mathur, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Riverhead, NY
  • NPI 1801994868
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1043433519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WENTWORTH AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071727",
            "telephone_number": "516-248-5245",
            "fax_number": "516-248-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MANOR PL",
            "address_2": "EASTERN LONG ISLAND HOSPITAL",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441222",
            "telephone_number": "631-548-6146",
            "fax_number": "631-548-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECONIC PATHOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "RANJANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-248-5245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celine Marie Paillot, PHD
• Paragon Emergency Medicine, PC
• Kathryn Ann Park, OTR/L
• Riddhi Patel
• Peconic Landing at Southold Inc
• Alexa-Rae Pesce, MD
• Phamco Inc.
• Pietro Piacquadio, R.PH.
• Susan E Rambo, LICSW
• Zubaidul Razzak, MD

• Anatomic Pathology & Clinical Pathology Physician in Greenport, NY
• Providers in Greenport, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.