Town of Southampton

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

TOWN OF SOUTHAMPTON

Practice address

25 Ponquogue Ave
Hampton Bays, NY 11946

Phone

(631) 728-1235

Fax

(631) 723-3061

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Russell Kratoville

Title

Town MGT. Services Administer

Phone

(631) 702-1909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1376073908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 974",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "11946",
            "telephone_number": "631-728-1235",
            "fax_number": "631-723-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PONQUOGUE AVE",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "11946",
            "telephone_number": "631-728-1235",
            "fax_number": "631-723-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SOUTHAMPTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "KRATOVILLE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "TOWN MGT. SERVICES ADMINISTER",
        "authorized_official_telephone_number": "631-702-1909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Sparacio
• Maureen Elizabeth Stefanidis
• Joanne Marie Taylor, REGISTERED NURSE
• The Stop & Shop Supermarket Company LLC
• Jeslin Thomas, D.M.D.
• Donna M. Trees-Barker, ANP
• Kenneth Micheal Troeller, LMSW
• Alex Tschubarjan, O.D.
• Shawn Tsekhan
• TST Therapeutic Services, LLC

• Adult Day Care Clinic/Center in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.