Individual provider Active NPI

Kristin Patrick Naso, D.O.

  • Gastroenterology Physician
  • Southampton, NY
National Provider Identifier
1487640652
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
173069-1 Issued in NY
Practice address
223 Hampton Rd
Southampton, NY 11968-5027
Phone
(631) 283-0090
Fax
(631) 287-1037
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 173069-1 NY Primary

Addresses

Primary practice location

223 Hampton Rd
Southampton, NY 11968-5027

Mailing address

57 Hampton Rd
Ste 201
Southampton, NY 11968-4973
Phone (631) 283-1126

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000099 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4587792817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
173069-1NYMDGastroenterology Physician

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC CurrentSince Jun 15, 2012 Accepting new patients

Locations

223 Hampton Rd
Southampton, NY 11968
Phone (516) 283-0090

57 Hampton Rd
Ste 201
Southampton, NY 11968
Phone (631) 283-1126

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1487640652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HAMPTON RD",
            "address_2": "STE 201",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684973",
            "telephone_number": "631-283-1126",
            "fax_number": "631-259-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 HAMPTON RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685027",
            "telephone_number": "631-283-0090",
            "fax_number": "631-287-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASO",
        "first_name": "KRISTIN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "173069-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.