# ADULT HEALTH NURSE PRACTITIONER SERVICES OF THE HAMPTONS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982364790
- **Authorized official:** SUSAN E MOGAN DNP, PMHNP, ANP-BC (OWNER)
- **Authorized official phone:** (845) 309-3040

## Contact information

- **Practice address:** 508 MAIN RD, RIVERHEAD, NY 11901-1906
- **Practice address phone:** (845) 309-3040
- **Practice address fax:** (631) 779-2168
- **Mailing address:** 6 FLOCEE LN, HAMPTON BAYS, NY 11946-3006
- **Mailing address phone:** (845) 309-3040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2021
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1043643992 | — | NY |