SMITHTOWN ASC, LLC
NPI 1184505299
Clinic/Center - Ambulatory Surgical in Nesconset, NY
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
Specialties & Licenses 2
Group Practice 1
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, NYFrequently 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 September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Smithtown Asc, Llc · NPI 1184505299
Ambulatory Surgical organization in Nesconset, New York. Organization record, active in the CMS NPPES registry since September 8, 2025.
## Identity
- **NPI:** 1184505299 (Entity type: Organization)
- **Enumerated:** September 8, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Billy Ingram, MEMBER
## Practice location
- **Address:** 61 SOUTHERN BLVD STE 1-4, Nesconset, NY 11767-1089
- **Phone:** (111) 111-1111
## Record status
- **NPPES last updated:** September 18, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184505299) · Data from the CMS NPPES public registry.