Active NPI
Meeting House Lane Medical Practice PC
- Internal Medicine Physician
- Southampton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEETING HOUSE LANE MEDICAL PRACTICE PC
- Practice address
- 57 Hampton Rd
Suite 201
Southampton, NY 11968-4973 - Phone
- (631) 283-2430
- Fax
- (631) 283-7496
- NPI assigned
- Nov 27, 2007
- Last updated
- Nov 10, 2016
- 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
- Dr. Fredrick I Weinbaum, MD
- Title
- President
- Phone
- (631) 726-8332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
57 Hampton Rd
Suite 201
Southampton, NY 11968-4973
Mailing address
57 Hampton Rd
Suite 201
Southampton, NY 11968-4973
Phone (631) 283-2430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031402436 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
182 W Montauk Hwy
Ste B
Hampton Bays, NY 11946
Phone (631) 594-3910
182 W Montauk Hwy
Ste F
Hampton Bays, NY 11946
Phone (631) 726-8400
4 Springville Rd
Ste B
Hampton Bays, NY 11946
28 S Etna Ave
Montauk, NY 11954
Phone (631) 668-3705
1333 Heroes Way
Ste 203
Riverhead, NY 11901
715 Roanoke Ave
Ste 7
Riverhead, NY 11901
Phone (631) 726-8400
117 Hampton Rd
Southampton, NY 11968
Phone (631) 287-8600
240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409
240 Meeting House Ln
Ste 3
Southampton, NY 11968
Phone (631) 726-8264
325 Meeting House Ln
Bldg 2
Southampton, NY 11968
Phone (631) 283-2100
325 Meeting House Ln
Fl 1
Southampton, NY 11968
325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100
57 Hampton Rd
Ste 201
Southampton, NY 11968
Phone (631) 283-1126
860 Montauk Hwy
Water Mill, NY 11976
Phone (631) 726-6073
860 Montauk Hwy
Unit 7
Water Mill, NY 11976
Practitioners & affiliated clinicians
Practitioners 165
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Hampton Bays, NY
- NPI 1629732680
-
- Family Medicine Physician
- Glen Oaks, NY
- NPI 1508295189
-
- Emergency Medicine Physician
- Southampton, NY
- NPI 1003839127
-
- Family Medicine Physician
- Westhampton Beach, NY
- NPI 1861568685
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1770659054
-
- Family Medicine Physician
- Westhampton Beach, NY
- NPI 1962762062
-
- Neuromusculoskeletal Medicine & OMM Physician
- Old Bethpage, NY
- NPI 1932273414
-
- Internal Medicine Physician
- Hampton Bays, NY
- NPI 1235205972
-
- Gastroenterology Physician
- Valhalla, NY
- NPI 1760938062
-
- Plastic Surgery Physician
- Southampton, NY
- NPI 1053462937
-
- Obstetrics & Gynecology Nurse Practitioner
- East Hampton, NY
- NPI 1194803510
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- New Hyde Park, NY
- NPI 1871834788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478736000000",
"number": "1902088495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 HAMPTON RD",
"address_2": "SUITE 201",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684973",
"telephone_number": "631-283-2430",
"fax_number": "631-283-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 HAMPTON RD",
"address_2": "SUITE 201",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684973",
"telephone_number": "631-283-2430",
"fax_number": "631-283-7496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEETING HOUSE LANE MEDICAL PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2016-11-10",
"status": "A",
"authorized_official_last_name": "WEINBAUM",
"authorized_official_first_name": "FREDRICK",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-726-8332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031402436",
"state": "NY"
}
],
"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 Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.