Merritt B White, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

112975 Issued in NY

Practice address

386 Montauk Hgwy
Ste 5
Wainscott, NY 11975

Phone

(631) 537-3765

Fax

(631) 537-4296

NPI assigned

Aug 30, 2005

Last updated

May 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merritt B White DO PC

  dba Bridgehampton Family Medical Practice

  • Family Medicine Physician
  • Wainscott, NY
  • NPI 1164486866
  Authorized official Same address or phone
• South Fork Medical Associates PC

  • Registered Dietitian
  • Southampton, NY
  • NPI 1144288077
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241222400000",
    "number": "1215920814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2340",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119692340",
            "telephone_number": "631-283-2100",
            "fax_number": "631-283-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 MONTAUK HGWY",
            "address_2": "STE 5",
            "city": "WAINSCOTT",
            "state": "NY",
            "postal_code": "11975",
            "telephone_number": "631-537-3765",
            "fax_number": "631-537-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MERRITT",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "112975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00674424",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Sieger, DMD
• Ancy Verdier, DMD
• Wainscott Common School District
• Wainscott Walk-in Medical Care PLLC
• Elizabeth Post White-Fricker, D.O.

• Family Medicine Physician in Wainscott, NY
• Providers in Wainscott, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2009; 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.