Individual provider Active NPI

Cathy Midence, AGPCNP-ANCC

  • Adult Medicine Physician
  • Southampton, NY
National Provider Identifier
1386517738
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
312389 Issued in NY
Practice address
2 Montauk Hwy
Southampton, NY 11968-4137
Phone
(646) 962-4676
Fax
(646) 962-0599
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 312389 NY Primary

Addresses

Primary practice location

2 Montauk Hwy
Southampton, NY 11968-4137

Mailing address

2 Montauk Hwy
Southampton, NY 11968-4137
Phone (646) 962-4676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
312389NYMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1386517738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MONTAUK HWY",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684137",
            "telephone_number": "646-962-4676",
            "fax_number": "646-962-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MONTAUK HWY",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684137",
            "telephone_number": "646-962-4676",
            "fax_number": "646-962-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDENCE",
        "first_name": "CATHY",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-ANCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "312389",
            "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 Nov 24, 2025; 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.