East End Physician Services PC
NPI 1407191364ActiveOrganization· Internal Medicine· Southold, NY
Internal Medicine in Southold, New York, registered in NPPES in December 2012. The authorized official on file is Lloyd Douglas Simon, MD, President (Corporation).
Overview
| NPI | 1407191364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2012 |
| Last updated in NPPES | Jun 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 153210-1 | NY |
| Internal Medicine, Addiction Medicine | 207RA0401X | 153210-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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