Organization Active NPI

Planned Parenthood Hudson Peconic

  • Ambulatory Family Planning Facility
  • West Islip, NY
National Provider Identifier
1073735601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
F330476-1 Issued in NY
Legal business name
PLANNED PARENTHOOD HUDSON PECONIC
Practice address
180 Sunrise Highway
West Islip, NY 11795
Phone
(631) 893-0153
Fax
(631) 893-0146
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elizabeth Anne Desantis, R.N., N.P.
Title
Clinician
Phone
(631) 893-0153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X F330476-1 NY Primary

Addresses

Primary practice location

180 Sunrise Highway
West Islip, NY 11795

Mailing address

353 Martin Drive
West Islip, NY 11795-2003
Phone (631) 661-3897

National Provider Directory

National Provider Directory

Locations

180 Sunrise Hwy
West Islip, NY 11795
Phone (631) 893-0150

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073735601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 MARTIN DRIVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952003",
            "telephone_number": "631-661-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SUNRISE HIGHWAY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-893-0153",
            "fax_number": "631-893-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD HUDSON PECONIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "631-893-0153",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., N.P."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NY",
            "license": "F330476-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.