Peconic Gastroenterology PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PECONIC GASTROENTEROLOGY PC

Practice address

223 Hampton Rd
Southampton, NY 11968-5027

Phone

(631) 283-0090

Fax

(631) 287-1037

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Patrick Naso, D.O.

Title

President

Phone

(631) 283-0090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1740276898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 HAMPTON RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685027",
            "telephone_number": "631-283-0090",
            "fax_number": "631-287-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 HAMPTON RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685027",
            "telephone_number": "631-283-0090",
            "fax_number": "631-287-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECONIC GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "NASO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-283-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01936089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amil A Patel, M.D.
• Reepa Patel
• Shobha R Patel, M.D.
• Alexandra Peck
• Peconic Endocrinology, PC
• Peconic Rnfa Associates, LLP
• Steven Penn, LCSW
• Nadine Persheff, M.D.
• Sophia K Pham, D.O.
• Alicia M Phillips

• Gastroenterology Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.