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THE PEDERSON KRAG CENTER
NPI 1306278726
Clinic/Center - Rehabilitation, Substance Use Disorder in Smithtown, NY

Active since August 08, 2013
11 ROUTE 111, SMITHTOWN, NY 11787(631) 920-8300 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Pederson Krag Center NPPES

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

THE PEDERSON KRAG CENTER (NPI 1306278726) is a healthcare organization registered as a rehabilitation, substance use disorder in Smithtown, New York and active in the NPI registry since August 2013. The organization lists Krista Whitman, Program Director, as its authorized official.

NPPES Registry Identity

NPI1306278726
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameTHE PEDERSON KRAG CENTER
Location Address11 ROUTE 111Smithtown, NY 11787-3739
Mailing Address11 Route 111Smithtown, NY 11787-3739 · (631) 920-8300
Phone(631) 920-8300
Organization SubpartNo
Authorized OfficialKrista WhitmanProgram Director · (631) 920-8336
Enumeration DateAugust 8, 2013
✔ NPI 1306278726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in NY · 089076
11 ROUTE 111, Smithtown, NY 11787
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Other Providers at the Same Location NPPES 20

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

MR. KEVFOY LENROY FLETCHER MASTERS IN SOCIAL WK
Counselor
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303
SHAKERIA KERISHA SLATER
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303
STEPHANIE GRANATA
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
LAURA CARRANO
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8306
GAYLE MCCARTHY LCSW
Social Worker (Clinical)
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
VAISHNAVI VADDIGIRI M.D.
Psychiatry & Neurology (Psychiatry)
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
ALICIA MERCADO
Case Manager/Care Coordinator
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8346
AMANDA M COSTA
Case Manager/Care Coordinator
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303

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 The Pederson Krag Center's NPI number?

The NPI number for The Pederson Krag Center is 1306278726. It was assigned to this organization in the NPPES registry on August 8, 2013.

Where is The Pederson Krag Center located?

The Pederson Krag Center is located at 11 Route 111, Smithtown, NY 11787. The listed phone number is (631) 920-8300.

What is The Pederson Krag Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for The Pederson Krag Center was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.