NPIMap

Organization Active NPI

Hampton Medical Care LLC

  • Specialist
  • Hampton Bays, NY
National Provider Identifier
1366711830
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
189801 Issued in NY
Legal business name
HAMPTON MEDICAL CARE LLC
Practice address
145 W Montauk Hwy
Hampton Bays, NY 11946-2309
Phone
(631) 728-4700
Fax
(631) 723-4534
NPI assigned
Dec 29, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Meciko A. Muharemovic, M.D.NPI 1477640969
Title
M.D./Owner
Phone
(631) 728-4700

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
Specialist 174400000X 189801 NY Primary

Addresses

Primary practice location

145 W Montauk Hwy
Hampton Bays, NY 11946-2309

Mailing address

145 W Montauk Hwy
Hampton Bays, NY 11946-2309
Phone (631) 728-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000000 NY Part B Supplier - Clinic/Group Practice 0244407385 Receives reassigned benefits from 16 practitioners
Practice locations: Hampton Bays, NY; East Hampton, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1366711830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462309",
            "telephone_number": "631-728-4700",
            "fax_number": "631-723-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462309",
            "telephone_number": "631-728-4700",
            "fax_number": "631-723-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MUHAREMOVIC",
        "authorized_official_first_name": "MECIKO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "631-728-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "189801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.