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SMITHTOWN PRIMARY MEDICAL CARE, P.C.
NPI 1326243536
Family Medicine in Smithtown, NY

Active since June 18, 2007CLIA 33D0159335 · Certificate of Compliance
100 MAPLE AVE, SMITHTOWN, NY 11787(631) 265-7671(631) 265-7692 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 October 20, 2026 and lists Ronald Roth, President, as its authorized official.

NPPES Registry Identity

NPI1326243536
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSMITHTOWN PRIMARY MEDICAL CARE, P.C.
Location Address100 MAPLE AVESmithtown, NY 11787-3502
Mailing Address100 Maple AveSmithtown, NY 11787-3502 · (631) 265-7671 · Fax (631) 265-7692
Phone(631) 265-7671
Fax(631) 265-7692
Organization SubpartNo
Authorized OfficialRonald RothPresident · (631) 265-7671
Enumeration DateJune 18, 2007
Last NPPES UpdateSeptember 29, 2011
✔ NPI 1326243536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 120634-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 MAPLE AVE, Smithtown, NY 11787
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Other Identifiers 2

Medicare PINA100049398NY
Medicare UPINCO8238NY

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

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, NY
Active · expires Oct 20, 2026
CLIA Number33D0159335
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorDr. Ronald R. Roth
Laboratory Phone(631) 265-7671
Laboratory LocationSmithtown Primary Medical Care PC100 Maple Avenue, Smithtown, NY 11787
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

OMNI MEDICAL 360 PLLC
Internal Medicine
100 MAPLE AVE
SMITHTOWN, NY 11787
Suffolk County (631) 813-7788
PRISCILLA LAMURA FNP
Nurse Practitioner (Family)
100 MAPLE AVE
SMITHTOWN, NY 11787
Suffolk County (631) 364-1700
DANIELLE DILLON PA-C
Physician Assistant
100 MAPLE AVE
SMITHTOWN, NY 11787
Suffolk County (631) 813-7788
VALERIE GRAY
Nurse Practitioner (Adult Health)
100 MAPLE AVE
SMITHTOWN, NY 11787
Suffolk County (631) 265-7671
BARBARA-ANNE JOHNSON A.N.P
Nurse Practitioner (Adult Health)
100 MAPLE AVE
SMITHTOWN, NY 11787
Suffolk County (631) 265-7671
KRISTIN ELAINE FEISS
Nurse Practitioner (Family)
100 MAPLE AVE
SMITHTOWN, NY 11787
Suffolk County (631) 265-7671
BARBARA D MAZZOLA ANP
Nurse Practitioner (Adult Health)
100 MAPLE AVE
SMITHTOWN, NY 11787
Suffolk County (631) 265-7671
PHYSICAL THERAPY ASSOCIATES OF SMITHTOWN PC
Physical Therapist
100 MAPLE AVE
SMITHTOWN, NY 11787
Suffolk County (631) 265-8084

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 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.

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 October 20, 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 14 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.