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SMITHTOWN ASC, LLC
NPI 1184505299
Clinic/Center - Ambulatory Surgical in Nesconset, NY

Active since September 08, 2025CLIA 33D2344548 · Waiver
61 SOUTHERN BLVD STE 1-4, NESCONSET, NY 11767(111) 111-1111 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2026, Mar 26, 2026, Sep 8, 2025 (3 updates tracked since 2025).

About Smithtown Asc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMITHTOWN ASC, LLC (NPI 1184505299) is a healthcare organization registered as an ambulatory surgical in Nesconset, New York and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Billy Ingram, Member, as its authorized official.

NPPES Registry Identity

NPI1184505299
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSMITHTOWN ASC, LLC
Location Address61 SOUTHERN BLVD STE 1-4Nesconset, NY 11767-1089
Mailing Address61 Southern Blvd Ste 1-4Nesconset, NY 11767-1089
Phone(111) 111-1111
Organization SubpartNo
Authorized OfficialBilly IngramMember · (267) 455-4855
Enumeration DateSeptember 8, 2025
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1184505299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
61 SOUTHERN BLVD STE 1-4, Nesconset, NY 11767
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2344548

Smithtown ASC LLC · Nesconset, NY
Active · expires Mar 26, 2027
CLIA Number33D2344548
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Forohar Farzad
Laboratory Phone(631) 724-5300
Laboratory LocationSmithtown ASC LLC61 Southern Blvd, Nesconset, NY 11767
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smithtown ASC, LLC's NPI number?

The NPI number for Smithtown ASC, LLC is 1184505299. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Smithtown ASC, LLC located?

Smithtown ASC, LLC is located at 61 Southern Blvd Ste 1-4, Nesconset, NY 11767. The listed phone number is (111) 111-1111.

What is Smithtown ASC, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Smithtown ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2344548) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Smithtown ASC, LLC was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.