Organization Active NPI

Southampton Hospital

  • Rehabilitation Hospital Unit
  • Westhampton Beach, NY
National Provider Identifier
1962770602
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
0344081 Issued in NY
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 HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
H04447OtherNYOXFORD
32501OtherNYCIGNA ORTHONET
NY0346OtherNYHEALTH ORTHONET
12755OtherNYAETNA
3C4913OtherNYHEALTHNET
58418OtherNYVYTRA
F0105OtherNYHIP
000105OtherNYEMPIRE
6697979OtherNYGHI
00274406MedicaidNY

Other names 1

  • Sports Rehab WH Other name

National Provider Directory

National Provider Directory
Tax ID family
Pantigo Primary Care Cent5 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.