MEDICARE: JAY P SLOTKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	1456881	NY
2	207R00000X	Internal Medicine Physician	145688	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	267AM1	OTHER	NY	EMPIRE BLUE SHIELD
2	P3555349	OTHER	NY	OXFORD
3	10210	OTHER	NY	VYTRA
4	9199852	OTHER	NY	GHI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780650226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY P SLOTKIN MD

Provider Business Mailing Address
First Line	:	PO BOX 1437
Second Line	:
City	:	SOUTHOLD
State	:	NY
Zip	:	11971-0938
Country	:	US
Telephone Number	:	631-765-1414
Fax Number	:	631-765-1428

Provider Business Practice Location Address
First Line	:	50 ACKERLY POND LN
Second Line	:
City	:	SOUTHOLD
State	:	NY
Zip	:	11971-3005
Country	:	US
Telephone Number	:	631-765-1414
Fax Number	:	631-765-1428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	10/29/2009

Similar Medicare Providers

1851367304 — EAST END GERIATRIC & ADULT MEDICINE PLLC
Practice Location Address:

50 ACKERLY POND LANE
SOUTHOLD, NY
11971-3005

Practice Phone: 631-765-1414
Practice Fax: 631-765-1428

1629402417 — STEVEN TEMPLETON PHYSICIAN ASSISTANT
Practice Location Address:

50 ACKERLY POND LN
SOUTHOLD, NY
11971-3005

Practice Phone: 631-765-1414
Practice Fax: 631-765-1428

1770128753 — AMANDA MACKILLOP NP
Practice Location Address:

54655 MAIN RD
SOUTHOLD, NY
11971-4769

Practice Phone: 631-301-2271
Practice Fax: 631-212-0482

1669470647 — DR. STEVEN J.N. CHIERCHIE
Practice Location Address:

44210 MIDDLE ROAD, RTE. 48
SOUTHOLD, NY
11971

Practice Phone: 631-765-5151
Practice Fax: 631-765-1162

1568452639 — DAVID FRANK PASCOE DDS
Practice Location Address:

51100 MAIN RD
SOUTHOLD, NY
11971-4655

Practice Phone: 631-765-1919
Practice Fax: 631-614-7852

1801870290 — MRS. CHRISTINA BERRY
Practice Location Address:

215 SOUTH ST
SOUTHOLD, NY
11971-1996

Practice Phone: 631-765-8084
Practice Fax: 631-765-8897

Directions to “ JAY P SLOTKIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.