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Healthcare Provider Digital Endpoint (NPI : 1386649804)

Healthcare Provider Digital Endpoint

NPI (National Provider Identifier) 1386649804
Endpoint Type CONNECT (CONNECT URL)
Endpoint https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint Description 2.16.840.1.113883.3.2019.1
Endpoint Affiliation Y (Yes, Endpoint is affiliated with an NPI or EIN)

Endpoint Affiliation Information

Affiliation Legal Business Name Bluemark
Affiliation Legal Business Address 40 Sunset Ridge Rd
New Paltz NY
12561-1036
US

Healthcare Provider Digital Endpoint Use

Use Code OTHER
Use Description Other
Other Use Description CMS esMD eMDR

Healthcare Provider Digital Endpoint Content

Content Type
Content Description
Other Content Description

Healthcare Provider Digital Endpoint

NPI (National Provider Identifier) 1386649804
Endpoint Type DIRECT (Direct Messaging Address)
Endpoint direct@direct.toc.pbmchealth.org
Endpoint Description Peconic Bay Medical Center Cerner Direct Address
Endpoint Affiliation N (No, Endpoint is not affiliated with an NPI or EIN)

Endpoint Affiliation Information

Affiliation Legal Business Name
Affiliation Legal Business Address 1300 Roanoke Ave
Riverhead NY
11901-2031
US

Healthcare Provider Digital Endpoint Use

Use Code HIE
Use Description Health Information Exchange (HIE)
Other Use Description

Healthcare Provider Digital Endpoint Content

Content Type
Content Description
Other Content Description

Healthcare Provider Digital Endpoint

NPI (National Provider Identifier) 1386649804
Endpoint Type FHIR (FHIR URL)
Endpoint https://fhir-myrecord.cerner.com/dstu2
Endpoint Description Peconic Bay Medical Center FHIR API
Endpoint Affiliation N (No, Endpoint is not affiliated with an NPI or EIN)

Endpoint Affiliation Information

Affiliation Legal Business Name
Affiliation Legal Business Address 1300 Roanoke Ave
Riverhead NY
11901-2031
US

Healthcare Provider Digital Endpoint Use

Use Code HIE
Use Description Health Information Exchange (HIE)
Other Use Description

Healthcare Provider Digital Endpoint Content

Content Type
Content Description
Other Content Description

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