Southampton Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

203693 Issued in NY

Legal business name

SOUTHAMPTON MEDICAL PC

Practice address

425 County Road 39a
Suite 201
Southampton, NY 11968-5277

Phone

(631) 283-4048

Fax

(631) 283-5396

NPI assigned

May 9, 2007

Last updated

Nov 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shobha R Patel, MDNPI 1225052897

Title

Owner MD

Phone

(631) 283-4048

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Shobha R Patel, M.D.

  • Internal Medicine Physician
  • Southampton, NY
  • NPI 1225052897
  Authorized official Same address or phone

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1467666461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 COUNTY ROAD 39A",
            "address_2": "SUITE 201",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685277",
            "telephone_number": "631-283-4048",
            "fax_number": "631-283-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COUNTY ROAD 39A",
            "address_2": "SUITE 201",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685277",
            "telephone_number": "631-283-4048",
            "fax_number": "631-283-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "631-283-4048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "203693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01837663",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southampton Hospital
• Southampton Hospital
• Southampton Hospital Association
• Southampton Hospital Association
• Southampton Immediate Medical Care PC
• Southampton Optiks LTD
• Southampton Physical Therapy PC
• Southampton Primacare Medical PC
• Southampton Pulmonary Med PC
• Southampton Radiology PC

• Specialist in Southampton, NY
• Providers in Southampton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.