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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LONG ISLAND INTEGRATIVE FUNCTIONAL MEDICINE, PC
NPI 1295643138
Clinic/Center - Primary Care in Smithtown, NY

Active since August 31, 2026
100 TERRY RD, SMITHTOWN, NY 11787(631) 979-7400(631) 979-7440 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Aug 31, 2026 (2 updates tracked since 2026).

About Long Island Integrative Functional Medicine, Pc NPPES

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

LONG ISLAND INTEGRATIVE FUNCTIONAL MEDICINE, PC (NPI 1295643138) is a healthcare organization registered as a primary care in Smithtown, New York and active in the NPI registry since August 2026. The organization lists Evangelia Lila Augoustiniatos, President, as its authorized official.

NPPES Registry Identity

NPI1295643138
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLONG ISLAND INTEGRATIVE FUNCTIONAL MEDICINE, PC
Location Address100 TERRY RDSmithtown, NY 11787-3811
Mailing Address100 Terry RdSmithtown, NY 11787-3811 · (631) 979-7400 · Fax (631) 979-7440
Phone(631) 979-7400
Fax(631) 979-7440
Organization SubpartNo
Authorized OfficialEvangelia Lila AugoustiniatosPresident · (631) 398-3206
Enumeration DateAugust 31, 2026
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1295643138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedIntegrative MedicineTaxonomy 202D00000X
100 TERRY RD, Smithtown, NY 11787
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALLISON MARIE RUGGIERO
Massage Therapist
100 TERRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 979-7400
DR. JENNIFER H CHAI DACM, MSTOM, L.AC,
Acupuncturist
100 TERRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 979-7400
DR. EILEEN M BARR DO
Internal Medicine
100 TERRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 979-7400
MS. DIANE LYNN ROSATI LMT
Massage Therapist
100 TERRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 979-7400
TAYLOR SARICH LAC
Acupuncturist
100 TERRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 857-4085
JAIMIE MARIE DOULOS LMT
Massage Therapist
100 TERRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 979-7400

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 Long Island Integrative Functional Medicine, PC's NPI number?

The NPI number for Long Island Integrative Functional Medicine, PC is 1295643138. It was assigned to this organization in the NPPES registry on August 31, 2026.

Where is Long Island Integrative Functional Medicine, PC located?

Long Island Integrative Functional Medicine, PC is located at 100 Terry Rd, Smithtown, NY 11787. The listed phone number is (631) 979-7400.

What is Long Island Integrative Functional Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Long Island Integrative Functional Medicine, PC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.