Active NPI
Southampton Hospital
- Rehabilitation Hospital Unit
- Westhampton Beach, NY
National Provider Identifier
1962770602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 0344081
- Legal business name
- SOUTHAMPTON HOSPITAL
- Practice address
- 74 Old Riverhead Rd
Westhampton Beach, NY 11978-1401 - Phone
- (631) 288-7767
- NPI assigned
- Dec 8, 2011
- Organization subpart
- Yes
- Parent organization
- SOUTHAMPTON HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Elizabeth Stoebe, P.T./D.P.T.
- Title
- Physical Therapist
- Phone
- (631) 726-8514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 0344081 | NY | Primary |
Addresses
Primary practice location
74 Old Riverhead Rd
Westhampton Beach, NY 11978-1401
Mailing address
PO Box 1613
Southampton, NY 11969-1613
Phone (631) 726-8514
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H04447 | Other | NY | OXFORD |
| 32501 | Other | NY | CIGNA ORTHONET |
| NY0346 | Other | NY | HEALTH ORTHONET |
| 12755 | Other | NY | AETNA |
| 3C4913 | Other | NY | HEALTHNET |
| 58418 | Other | NY | VYTRA |
| F0105 | Other | NY | HIP |
| 000105 | Other | NY | EMPIRE |
| 6697979 | Other | NY | GHI |
| 00274406 | Medicaid | NY |
Other names 1
- Sports Rehab WH
National Provider Directory
National Provider Directory- Tax ID family
- Pantigo Primary Care Cent
- Part of
- Pantigo Primary Care Cent
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1063551331
-
- Rehabilitation Hospital
- East Hampton, NY
- NPI 1346391323
-
- General Acute Care Hospital
- Farmingdale, NY
- NPI 1780979591
-
- Physical Therapist
- Westhampton Beach, NY
- NPI 1346323813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1962770602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1613",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119691613",
"telephone_number": "631-726-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 OLD RIVERHEAD RD",
"city": "WESTHAMPTON BEACH",
"state": "NY",
"postal_code": "119781401",
"telephone_number": "631-288-7767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHAMPTON HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHAMPTON HOSPITAL",
"enumeration_date": "2011-12-08",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "STOEBE",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "631-726-8514",
"authorized_official_credential": "P.T./D.P.T."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "NY",
"license": "0344081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "H04447",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ORTHONET",
"identifier": "32501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ORTHONET",
"identifier": "NY0346",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "12755",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C4913",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "58418",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "F0105",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "000105",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6697979",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274406",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sports Rehab WH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Westhampton Beach, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.