NPIMap

Organization Active NPI

Southampton Hospital Association

Doing business as Westhampton Primary Care Center

  • Primary Care Clinic/Center
  • Westhampton Beach, NY
National Provider Identifier
1295899086
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PFI #5757 Issued in NY
Legal business name
SOUTHAMPTON HOSPITAL ASSOCIATION
Doing business as
Westhampton Primary Care Center
Practice address
147 Beach Rd
Suite a
Westhampton Beach, NY 11978-1733
Phone
(631) 288-7746
Fax
(631) 288-7111
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Christopher J. Schultheis
Title
Chief Financial Officer
Phone
(631) 726-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PFI #5757 NY Primary

Addresses

Primary practice location

147 Beach Rd
Suite a
Westhampton Beach, NY 11978-1733

Mailing address

147 Beach Rd
Suite a
Westhampton Beach, NY 11978-1733
Phone (631) 288-7746

Other identifiers 1

IdentifierTypeStateIssuer
02548492MedicaidNY

Other names 1

  • Westhampton Primary Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0950474Westhampton Primary Care Center147 Beach Road, Westhampton Beach, NY 11978Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

34 E Montauk Hwy
Ste 4
Hampton Bays, NY 11946
Phone (631) 728-0505

335B Meeting House Ln
Southampton, NY 11968
Phone (631) 287-5990

80 Riverhead Rd
Westhampton Beach, NY 11978
Phone (516) 288-7746

147 Beach Rd
Ste A
Westhampton Beach, NY 11978
Phone (631) 288-7746

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1295899086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 BEACH RD",
            "address_2": "SUITE A",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781733",
            "telephone_number": "631-288-7746",
            "fax_number": "631-288-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 BEACH RD",
            "address_2": "SUITE A",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781733",
            "telephone_number": "631-288-7746",
            "fax_number": "631-288-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-726-8300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "PFI #5757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02548492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westhampton Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westhampton Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.