NPIMap

Organization Active NPI

Hampton Pediatric Dental Associates PC

  • Pediatric Dentistry
  • Southampton, NY
National Provider Identifier
1578841672
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
043391 Issued in NY
Legal business name
HAMPTON PEDIATRIC DENTAL ASSOCIATES PC
Practice address
97 N Main St
Southampton, NY 11968-3300
Phone
(631) 287-8687
Fax
(631) 204-1430
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Nancy Elizabeth Cosenza, D.D.S.
Title
Owner
Phone
(631) 287-8687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 043391 NY Primary

Addresses

Primary practice location

97 N Main St
Southampton, NY 11968-3300

Mailing address

97 N Main St
Southampton, NY 11968-3300
Phone (631) 287-8687

Other identifiers 1

IdentifierTypeStateIssuer
01476553MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Hampton Pediatric Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1578841672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 N MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683300",
            "telephone_number": "631-287-8687",
            "fax_number": "631-204-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 N MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683300",
            "telephone_number": "631-287-8687",
            "fax_number": "631-204-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON PEDIATRIC DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "COSENZA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-287-8687",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "043391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01476553",
            "state": "NY"
        }
    ],
    "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 25, 2011; 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.