Organization Active NPI

Hampton Pediatrics, PLLC

  • Pediatrics Physician
  • Southampton, NY
National Provider Identifier
1598989519
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
206356 Issued in NY
Legal business name
HAMPTON PEDIATRICS, PLLC
Practice address
444 N Sea Rd
Southampton, NY 11968-2057
Phone
(631) 283-4843
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Nadine Persheff, M.D.NPI 1609829761
Title
Owner
Phone
(631) 283-4843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 206356 NY Primary

Addresses

Primary practice location

444 N Sea Rd
Southampton, NY 11968-2057

Mailing address

444 N Sea Rd
Southampton, NY 11968-2057
Phone (631) 283-4843

Other identifiers 1

IdentifierTypeStateIssuer
01901757MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2167988Hampton Pediatrics PLLC444 North Sea Road, Southampton, NY 11968Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory

Locations

444 N Sea Rd
Southampton, NY 11968
Phone (631) 283-4843

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1598989519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N SEA RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682057",
            "telephone_number": "631-283-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N SEA RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682057",
            "telephone_number": "631-283-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "PERSHEFF",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-283-4843",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "206356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01901757",
            "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 Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.