Organization Active NPI

Southampton Immediate Medical Care PC

  • Primary Care Clinic/Center
  • Southampton, NY
National Provider Identifier
1316185523
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
181535-1 Issued in NY
Legal business name
SOUTHAMPTON IMMEDIATE MEDICAL CARE PC
Practice address
290 N Sea Rd
Southampton, NY 11968-2034
Phone
(631) 283-5900
Fax
(631) 287-7174
NPI assigned
Jan 26, 2009
Last updated
Jan 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Dr. James Edmund Frank Giugliano, D.O.NPI 1912974890
Title
Director
Phone
(631) 283-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 181535-1 NY Primary

Addresses

Primary practice location

290 N Sea Rd
Southampton, NY 11968-2034

Mailing address

290 N Sea Rd
Southampton, NY 11968-2034
Phone (631) 283-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091112000311 NY Part B Supplier - Clinic/Group Practice 8224176250 Receives reassigned benefits from 1 practitioner
Practice locations: Southampton, NY

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
33D0889145Southampton Medical Care290 North Sea Road, Southampton, NY 11968Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Locations

290 N Sea Rd
Southampton, NY 11968
Phone (631) 283-5900

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1316185523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N SEA RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682034",
            "telephone_number": "631-283-5900",
            "fax_number": "631-287-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N SEA RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682034",
            "telephone_number": "631-283-5900",
            "fax_number": "631-287-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON IMMEDIATE MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "GIUGLIANO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDMUND FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-283-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "181535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.