Organization Active NPI

Hampton Orthopedic and Sports Medicine PC

  • Orthopedic Chiropractor
  • Center Moriches, NY
National Provider Identifier
1508871484
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2113301 Issued in NY
Legal business name
HAMPTON ORTHOPEDIC AND SPORTS MEDICINE PC
Practice address
504B Montauk Hwy
Center Moriches, NY 11934
Phone
(631) 287-9477
Fax
(631) 287-9751
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. John J Brennan, MD
Title
Office Supervisor
Phone
(631) 287-9477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X 2113301 NY Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 2113302 NY

Addresses

Primary practice location

504B Montauk Hwy
Center Moriches, NY 11934

Mailing address

325 Meeting House Lane BLDG 2
Suite 301
South Hampton, NY 11968
Phone (631) 287-9477

Other identifiers 2

IdentifierTypeStateIssuer
2113302OtherNYCENTER PROVIDER
2113301OtherNYSOUTH HAMPTON

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508871484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MEETING HOUSE LANE BLDG 2",
            "address_2": "SUITE 301",
            "city": "SOUTH HAMPTON",
            "state": "NY",
            "postal_code": "11968",
            "telephone_number": "631-287-9477",
            "fax_number": "631-287-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504B MONTAUK HWY",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "11934",
            "telephone_number": "631-287-9477",
            "fax_number": "631-287-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ORTHOPEDIC AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "631-287-9477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "2113301",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2113302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTER PROVIDER",
            "identifier": "2113302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH HAMPTON",
            "identifier": "2113301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.