Nadine Persheff, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

206356 Issued in NY

Practice address

444 N Sea Rd
Southampton, NY 11968-2057

Phone

(631) 283-4843

Fax

(631) 614-7969

NPI assigned

May 18, 2006

Last updated

Oct 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hampton Pediatrics, PLLC

  • Pediatrics Physician
  • Southampton, NY
  • NPI 1598989519
  NPD (past) Authorized official
• Family Service League, Inc.

  • Community/Behavioral Health Agency
  • Huntington, NY
  • NPI 1528093242
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1609829761",
    "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",
            "fax_number": "631-259-3850"
        },
        {
            "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",
            "fax_number": "631-614-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSHEFF",
        "first_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "206356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01901757",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Peck
• Peconic Endocrinology, PC
• Peconic Gastroenterology PC
• Peconic Rnfa Associates, LLP
• Steven Penn, LCSW
• Sophia K Pham, D.O.
• Alicia M Phillips
• Katelyn Anne Pierson, MS,RD,CDN
• Kenneth Dario Pinillos, PA-C
• Paul Poidomani, D.O. (MAY 2017 GRAD)

• Pediatric Adolescent Medicine Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.