Active NPI
South Fork Gynecology
- Gynecology Physician
- East Hampton, NY
National Provider Identifier
1295911741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 221321
- Legal business name
- SOUTH FORK GYNECOLOGY
- Practice address
- 200 Pantigo Place
Suite D
East Hampton, NY 11937 - Phone
- (631) 329-6500
- Fax
- (631) 329-7832
- NPI assigned
- Jan 15, 2008
- Last updated
- Jan 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louise M Collins, MD
- Title
- President Physician
- Phone
- (631) 329-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 221321 | NY | Primary |
Addresses
Primary practice location
200 Pantigo Place
Suite D
East Hampton, NY 11937
Mailing address
200 Pantigo Place
Suite D
East Hampton, NY 11937
Phone (631) 329-6500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Gynecology Physician
- East Hampton, NY
- NPI 1891872107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1295911741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PANTIGO PLACE",
"address_2": "SUITE D",
"city": "EAST HAMPTON",
"state": "NY",
"postal_code": "11937",
"telephone_number": "631-329-6500",
"fax_number": "631-329-7832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PANTIGO PLACE",
"address_2": "SUITE D",
"city": "EAST HAMPTON",
"state": "NY",
"postal_code": "11937",
"telephone_number": "631-329-6500",
"fax_number": "631-329-7832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FORK GYNECOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-15",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "LOUISE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
"authorized_official_telephone_number": "631-329-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "221321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hampton, NY
- Peter Siemers, CRPA-P
- Julie A. Sigler-Baum, BA, M.AC., NCCA DIPL
- Carol Craig Sigler, M.AC., NCCA DIPL.
- Ann M. Silver, MS, RDN, CDCES, CDN
- Perry L Silver, D.D.S.
- Southampton Hospital (Sports Rehab East Hampotn)
- Springs Union Free School District
- Virginia E St John, LCSW
- Joceila Stieven, PT
- Monica Strunk, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.