SMITHTOWN PRIMARY MEDICAL CARE, P.C.
NPI 1326243536
Family Medicine in Smithtown, NY
About Smithtown Primary Medical Care, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SMITHTOWN PRIMARY MEDICAL CARE, P.C. (NPI 1326243536) is a healthcare organization registered as a family medicine in Smithtown, New York and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Ronald Roth, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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 Primary Medical Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Smithtown Primary Medical Care, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Compliance 33D0159335
Smithtown Primary Medical Care PC · Smithtown, 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 Primary Medical Care, P.C.'s NPI number?
The NPI number for Smithtown Primary Medical Care, P.C. is 1326243536. It was assigned to this organization in the NPPES registry on June 18, 2007.
Where is Smithtown Primary Medical Care, P.C. located?
Smithtown Primary Medical Care, P.C. is located at 100 Maple Ave, Smithtown, NY 11787. The listed phone number is (631) 265-7671.
What is Smithtown Primary Medical Care, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Smithtown Primary Medical Care, P.C. enrolled in Medicare?
Yes. Smithtown Primary Medical Care, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Smithtown Primary Medical Care, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Smithtown Primary Medical Care, P.C., in Family Practice and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Smithtown Primary Medical Care, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D0159335) is associated with this NPI, valid through November 30, 2026. 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 Primary Medical Care, P.C. was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Smithtown Primary Medical Care, P.c. · NPI 1326243536
Family Medicine organization in Smithtown, New York. Organization record, active in the CMS NPPES registry since June 18, 2007.
## Identity
- **NPI:** 1326243536 (Entity type: Organization)
- **Enumerated:** June 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ronald Roth, PRESIDENT
## Practice location
- **Address:** 100 MAPLE AVE, Smithtown, NY 11787-3502
- **Phone:** (631) 265-7671 · **Fax:** (631) 265-7692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2011
- **Other identifiers:** Medicare PIN A100049398 (NY); Medicare UPIN CO8238 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326243536) · Data from the CMS NPPES public registry.