NPIMap

Individual provider Active NPI

Jarid Pachter, D.O

  • Family Medicine Physician
  • Southold, NY
National Provider Identifier
1750514022
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
252270 Issued in NY
Practice address
Southold Family Medicine
44360 County Road 48
Southold, NY 11971
Phone
(631) 734-8742
Fax
(631) 734-8745
NPI assigned
Sep 2, 2009
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 252270 NY Primary

Addresses

Primary practice location

Southold Family Medicine
44360 County Road 48
Southold, NY 11971

Mailing address

Stony Brook Community Medical
500 Commack Road Suite 206
Commack, NY 11725
Phone (631) 675-2125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000238 NY Practitioner - Family PracticePractitioner - Addiction Medicine 7315077294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5858

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5858

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Family and Preventive Medicine, University Faculty Practic Family Medicine CurrentSince Jul 7, 2019 Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati PastSince Aug 15, 2021 Accepting new patients
University Hospital at Stony Brook Past Accepting new patients
Island Urgent Medical Care, P.C. Family Medicine Past Accepting new patients
University Hospital at Stony Brook Past Accepting new patients

Locations

201 Manor Pl
Greenport, NY 11944
Phone (631) 477-1000

905 E Main St
Riverhead, NY 11901
Phone (631) 338-8315

44360 County Road 48
Southold, NY 11971
Phone (631) 638-0597

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jarid.pachter@sbcm.cernerdirect.com
  • Direct secure messaging: jpachter@yourcarecommunity.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1750514022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK COMMUNITY MEDICAL",
            "address_2": "500 COMMACK ROAD SUITE 206",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-675-2125",
            "fax_number": "631-675-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTHOLD FAMILY MEDICINE",
            "address_2": "44360 COUNTY ROAD 48",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "11971",
            "telephone_number": "631-734-8742",
            "fax_number": "631-734-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHTER",
        "first_name": "JARID",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "252270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southold, NY

Sources for this page

Verify at the official NPI Registry.