SMITHTOWN FAMILY HEALTH NP PC
NPI 1215560776
Nurse Practitioner - Family in Smithtown, NY

Active since February 12, 2020
300 E MAIN ST STE 2, SMITHTOWN, NY 11787(631) 523-7826 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2021, Feb 12, 2020 (2 updates tracked since 2020).

About Smithtown Family Health Np Pc NPPES

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

SMITHTOWN FAMILY HEALTH NP PC (NPI 1215560776) is a healthcare organization registered as a family in Smithtown, New York and active in the NPI registry since February 2020. The organization lists Doreen Smith, President, as its authorized official.

NPPES Registry Identity

NPI1215560776
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSMITHTOWN FAMILY HEALTH NP PC
Location Address300 E MAIN ST STE 2Smithtown, NY 11787-2900
Mailing Address336 Nicolls RdDeer Park, NY 11729-1806 · (631) 523-7826
Organization SubpartNo
Authorized OfficialDoreen SmithPresident · (631) 523-7826
Enumeration DateFebruary 12, 2020
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1215560776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
300 E MAIN ST STE 2, Smithtown, NY 11787

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Smithtown Family Health Np Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Smithtown Family Health Np PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner10
Physical Therapist in Private Practice4

Clinicians, nearest first (14)

Physical Therapist in Private Practice
NPI 1316553639
300 E MAIN ST STE 2
Smithtown, NY 11787
(631) 675-9709
Same address
Nurse Practitioner
NPI 1659188696
300 E MAIN ST STE 2
Smithtown, NY 11787
(631) 780-6128
✔ PECOSSame address
Nurse Practitioner
NPI 1669909560
300 E MAIN ST STE 2
Smithtown, NY 11787
(631) 780-6126
✔ PECOSSame address
Nurse Practitioner
NPI 1033919923
140 N BELLE MEAD AVE
East Setauket, NY 11733
(631) 689-8662
✔ PECOS5.7 mi
Nurse Practitioner
NPI 1992032791
3 OLIVE ST
Central Islip, NY 11722
(516) 427-2477
✔ PECOS5.7 mi
Nurse Practitioner
NPI 1922500354
160 MIDDLE RD
Sayville, NY 11782
(917) 687-4762
✔ PECOS9.6 mi
Nurse Practitioner
NPI 1093063620
160 MIDDLE RD STE 1
Sayville, NY 11782
(631) 741-8341
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1851907836
555 LITTLE EAST NECK RD
West Babylon, NY 11704
(631) 968-7700
✔ PECOS14 mi
Physical Therapist in Private Practice
NPI 1649248667
64 HONEYSUCKLE ROAD
Levittown, NY 11756
(516) 495-4805
21 mi
Nurse Practitioner
NPI 1992536783
46 NEWPORT BEACH BLVD
East Moriches, NY 11940
(631) 681-1848
✔ PECOS23 mi
Nurse Practitioner
NPI 1912649245
31 MERRICK AVE STE 10
Merrick, NY 11566
(516) 771-9797
✔ PECOS24 mi
Nurse Practitioner
NPI 1093608085
10 OLD RIVERHEAD RD UNIT A
Westhampton Beach, NY 11978
(631) 369-4292
✔ PECOS✔ Accepts Medicare28 mi
Physical Therapist in Private Practice
NPI 1336821578
12-15 SADDLE RIVER RD
Fair Lawn, NJ 07410
(201) 797-9522
49 mi
Physical Therapist in Private Practice
NPI 1285296509
502 DEMOSS CT
Glassboro, NJ 08028
(917) 673-7095
130 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Health Np PC's NPI number?

The NPI number for Smithtown Family Health Np PC is 1215560776. It was assigned to this organization in the NPPES registry on February 12, 2020.

Where is Smithtown Family Health Np PC located?

Smithtown Family Health Np PC is located at 300 E Main St Ste 2, Smithtown, NY 11787. The listed phone number is (631) 523-7826.

What is Smithtown Family Health Np PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Smithtown Family Health Np PC enrolled in Medicare?

Yes. Smithtown Family Health Np PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Smithtown Family Health Np PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Smithtown Family Health Np PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10) and Physical Therapist in Private Practice (4). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Smithtown Family Health Np PC was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.