Active NPI
Max H Minnerop, MD
- Emergency Medicine Physician
- Southampton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 248273
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8476
- Fax
- (631) 726-8497
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 248273 | NY | Primary |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
PO Box 955
Port Jefferson Station, NY 11776-0808
Phone (631) 726-8476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 Meeting House LN
Southampton, NY 11968-5009
Phone (631) 726-8400
325 Meeting House LN
Southampton, NY 11968-7000
3330 Noyac Rd
Sag Harbor, NY 11963-1930
Phone (631) 725-2112
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Current | Accepting new patients | |
| Cardiothoracic Surgical Associates | Past | Accepting new patients | |
| East Hampton Urgent Care PLLC | Past | Accepting new patients |
Locations
470 Pantigo Rd
East Hampton, NY 11937
Phone (631) 329-5900
240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409
325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1902088495
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Brooklyn, NY
- NPI 1588738207
-
- Urgent Care Clinic/Center
- East Hampton, NY
- NPI 1538322920
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1437320215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117760808",
"telephone_number": "631-726-8476",
"fax_number": "631-726-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685009",
"telephone_number": "631-726-8476",
"fax_number": "631-726-8497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNEROP",
"first_name": "MAX",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "248273",
"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 Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.