Organization Active NPI

East End Pediatrics, P.C.

  • Pediatrics Physician
  • East Hampton, NY
National Provider Identifier
1760407571
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EAST END PEDIATRICS, P.C.
Practice address
200 Pantigo PL
Suite E
East Hampton, NY 11937-5920
Phone
(631) 324-8030
Fax
(631) 324-8032
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. Gail Schonfeld, M.D.NPI 1649264888
Title
President
Phone
(631) 324-8030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

200 Pantigo PL
Suite E
East Hampton, NY 11937-5920

Mailing address

200 Pantigo PL
Suite E
East Hampton, NY 11937-5920
Phone (631) 324-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150908000450 NY Part B Supplier - Clinic/Group Practice 2860708856 Receives reassigned benefits from 1 practitioner
Practice locations: East Hampton, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0160558East End Pediatrics PC200 Pantigo Place, Suite E, East Hampton, NY 11937ComplianceSep 11, 2026

National Provider Directory

National Provider Directory

Locations

200 Pantigo Pl
East Hampton, NY 11937
Phone (631) 267-6969

200 Pantigo Pl
Ste E
East Hampton, NY 11937
Phone (631) 324-8030

Practitioners & affiliated clinicians

Practitioners 5

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1760407571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL",
            "address_2": "SUITE E",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375920",
            "telephone_number": "631-324-8030",
            "fax_number": "631-324-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL",
            "address_2": "SUITE E",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375920",
            "telephone_number": "631-324-8030",
            "fax_number": "631-324-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHONFELD",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-324-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.