KACEY JOHANNAH PRYZBY (NPI# 1295213700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295213700 |
| Entity Type | Individual |
| Full Name | KACEY JOHANNAH PRYZBY |
| Credential | PNP |
| Practice Address |
444 N Sea Rd Southampton NY 11968-2057 |
| Practice Telephone | 6312834843 |
| Mailing Telephone | 6312834843 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 382897 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | 382897 | 01 |
| Street Address |
444 N SEA RD |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11968-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829761 | Nadine Persheff | Pediatrics | 444 N Sea Rd, Southampton, NY 11968-2057 | 2006-05-18 |
| 1205007002 | Karen Lee | Pediatrics | 444 N Sea Rd, Southampton, NY 11968 | 2008-03-19 |
| 1598989519 | Hampton Pediatrics, Pllc | Pediatrics | 444 N Sea Rd, Southampton, NY 11968-2057 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
| 1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
| 1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
| 1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
| 1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
| 1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
| 1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
| Find all providers in zip 11968 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780740647 | Gerard P Mcloughlin | Pediatrics | 436 Hill St, Southampton, NY 11968 | 2006-12-28 |
| 1134138357 | Forough B Mokhtari | Pediatrics | 5 Squiretown Road, South Hampton Pediatric, Southampton, NY 11946 | 2006-08-05 |
| 1629016530 | Tri-county Pediatrics, Inc | Pediatrics | 57 Street Rd, Southampton, PA 18966-3100 | 2006-06-03 |
| 1841290608 | Louis M Goldblum | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968 | 2005-07-22 |
| 1548264906 | Laura Michelle Donaldson | Pediatrics | 44 2nd Street Pike, Ste 301, Southampton, PA 18966-3830 | 2005-06-13 |
| 1326351933 | Dionne Hazel Magdelene Donald | Pediatrics | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2010-07-23 |
| 1730325721 | Thelma Barker Gaetano | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2008-12-23 |
| 1205007002 | Karen Lee | Pediatrics | 444 N Sea Rd, Southampton, NY 11968 | 2008-03-19 |
| 1093913261 | Laura M. Donaldson, Do-pediatrics, PC | Pediatrics | 44 Second Street Pike, Suite 301, Southampton, PA 18966-3830 | 2007-07-10 |
| 1598989519 | Hampton Pediatrics, Pllc | Pediatrics | 444 N Sea Rd, Southampton, NY 11968-2057 | 2007-04-12 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
Please comment or provide details below to improve the information on KACEY JOHANNAH PRYZBY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.