NPIMap

Organization Active NPI

Steven G Selter MD

  • Primary Care Clinic/Center
  • Port Jefferson, NY
National Provider Identifier
1629248786
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
139173 Issued in NY
Legal business name
STEVEN G SELTER MD
Practice address
102 Prospect St
Port Jefferson, NY 11777-1813
Phone
(631) 473-0611
Fax
(631) 642-1617
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Ms. Christine Hegemeister
Title
Billing Coordinator
Phone
(516) 868-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 139173 NY Primary

Addresses

Primary practice location

102 Prospect St
Port Jefferson, NY 11777-1813

Mailing address

102 Prospect St
Port Jefferson, NY 11777-1813
Phone (631) 473-0611

National Provider Directory

National Provider Directory

Locations

102 Prospect St
Prt Jefferson, NY 11777
Phone (631) 473-0454

Practitioners & affiliated clinicians

Practitioners 3

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1629248786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PROSPECT ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771813",
            "telephone_number": "631-473-0611",
            "fax_number": "631-642-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROSPECT ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771813",
            "telephone_number": "631-473-0611",
            "fax_number": "631-642-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G SELTER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "HEGEMEISTER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "516-868-9777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "139173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.