Active NPI
Kristin Patrick Naso, D.O.
- Gastroenterology Physician
- Southampton, NY
National Provider Identifier
1487640652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 173069-1
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100507000099 | NY | Practitioner - Gastroenterology | 4587792817 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173069-1 | NY | MD | Gastroenterology Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Current | 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.
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1902088495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.