Healthcare Provider Details

I. General information

NPI: 1467314237
Provider Name (Legal Business Name): HAMPTONS ENDOSCOPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68-100 OLD RIVERHEAD ROAD
WESTHAMPTON BEACH NY
11978-1401
US

IV. Provider business mailing address

68-100 OLD RIVERHEAD ROAD
WESTHAMPTON BEACH NY
11978-1401
US

V. Phone/Fax

Practice location:
  • Phone: 646-543-3106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER INGRAM
Title or Position: ADMINISTRATOR
Credential:
Phone: 267-455-4855