Active NPI
East End Family Practice
- Medical Physician Assistant
- Riverhead, NY
National Provider Identifier
1720120686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 010331
- Legal business name
- EAST END FAMILY PRACTICE
- Practice address
- 31 Main Rd
Riverhead, NY 11901-1953 - Phone
- (631) 722-4400
- Fax
- (631) 722-4426
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nirupa Ramjisingh, RPA-C
- Title
- Physician Assistant
- Phone
- (631) 722-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 010331 | NY | Primary |
Addresses
Primary practice location
31 Main Rd
Riverhead, NY 11901-1953
Mailing address
31 Main Rd
Riverhead, NY 11901-1953
Phone (631) 722-4400
Other names 1
- Peconic Bay Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720120686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MAIN RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011953",
"telephone_number": "631-722-4400",
"fax_number": "631-722-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MAIN RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011953",
"telephone_number": "631-722-4400",
"fax_number": "631-722-4426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST END FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAMJISINGH",
"authorized_official_first_name": "NIRUPA",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "631-722-4400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPA-C"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "010331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peconic Bay Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverhead, NY
- East End Cardiology PC
- East End Cardiology, PC
- East End Dialysis Management, LLC
- East End Disability Associates Inc.
- East End Endocrine Associates PC
- East End Internal Medicine PC
- East End Nutrition, PLLC
- East End Plastic, Reconstructive & Hand Surgery, P.C.
- East End Pulmonary Care, P.C.
- East End Respiratory Therapy PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.