Active NPI
Allen Lawrence Fein, M.D.
- Family Medicine Physician
- Southampton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A2000404
- Practice address
- 365 County Road 39a Unit 11
Southampton, NY 11968 - Phone
- (631) 283-6446
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A2000404 | NY | Primary |
Addresses
Primary practice location
365 County Road 39a Unit 11
Southampton, NY 11968
Mailing address
45 Research Way Ste 105
East Setauket, NY 11733-6401
Phone (631) 675-2125
Other practice location 1
205 Windmill Ln
Suite A
Southampton, NY 11968-4840
Phone (631) 283-6446
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01593668 | Medicaid | NY | |
| P2130294 | Other | OXFORD HEALTHPLANS | |
| AK46204A | Other | NY | MDNY |
| P374141 | Other | OXFORD | |
| 38484 | Other | CIGNA | |
| 54733 | Other | VYTRA HEALTH PLANS | |
| 711379 | Other | HARVARD PILGRIM HEALTHCAR | |
| 88573 | Other | VYTRA HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1978
- 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
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2000404 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Family and Preventive Medicine, University Faculty Practic | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Stony Brook Gynecology & Obstetrics, P.C. | Past | Accepting new patients |
Locations
205 Windmill Ln
Ste A
Southampton, NY 11968
Phone (631) 283-6446
365 County Road 39A
Unit 11
Southampton, NY 11968
Phone (631) 283-6446
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- allen.fein@sbcm.cernerdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Stony Brook, NY
- NPI 1982659470
-
- Obstetrics & Gynecology Physician
- Setauket, NY
- NPI 1770550477
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1881672533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY STE 105",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-675-2125",
"fax_number": "631-675-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 COUNTY ROAD 39A UNIT 11",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "11968",
"telephone_number": "631-283-6446"
}
],
"practiceLocations": [
{
"address_1": "205 Windmill Ln",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Southampton",
"state": "NY",
"postal_code": "119684840",
"country_code": "US",
"telephone_number": "631-283-6446",
"fax_number": "631-283-9827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEIN",
"first_name": "ALLEN",
"middle_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "A2000404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01593668",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTHPLANS",
"identifier": "P2130294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AK46204A",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P374141",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "38484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA HEALTH PLANS",
"identifier": "54733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "711379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA HEALTH PLANS",
"identifier": "88573",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.