SMITHTOWN MEDICAL SPECIALISTS, PC
NPI 1396954319
Internal Medicine in Smithtown, NY

NPI Status: Active since May 22, 2007

Contact Information

215 E MAIN ST
SMITHTOWN, NY
ZIP 11787
Phone: (631) 265-5858
Fax: (631) 265-5756

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  • Organization
  • Internal Medicine
  • CLIA Number: 33D2218455
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 03-26-2027

About SMITHTOWN MEDICAL SPECIALISTS, PC

This page provides the complete NPI Profile along with additional information for Smithtown Medical Specialists, Pc, an internist established in Smithtown, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1396954319 assigned on May 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Susan Johntry (Office Manager)

NPI
1396954319
Provider Name
SMITHTOWN MEDICAL SPECIALISTS, PC
Entity Type
Organization
Location Address
215 E MAIN ST SMITHTOWN, NY 11787
Location Phone
(631) 265-5858
Location Fax
(631) 265-5756
Mailing Address
215 E MAIN ST SMITHTOWN, NY 11787
Mailing Phone
(631) 265-5858
Mailing Fax
(631) 265-5756
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2007
Last Update Date
08-22-2020
Code Navigator

An internist like Smithtown Medical Specialists, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SUSAN JOHNTRY

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(631) 265-5858

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2218455
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
March 29, 2021
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. KHURRAM MEHTABDIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Smithtown Medical Specialists, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396954319, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 8 + 5 + 8 + 3 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1396954319.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
215 E MAIN ST
SMITHTOWN, NY 11787
Nurse Practitioner (Adult Health)
215 E MAIN ST
SMITHTOWN, NY 11787
Nurse Practitioner (Adult Health)
215 E MAIN ST
SMITHTOWN, NY 11787
Internal Medicine
215 E MAIN ST
SMITHTOWN, NY 11787

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396954319, enumerated as an "organization" on May 22, 2007.

The provider is located at 215 E MAIN ST SMITHTOWN, NY 11787 and the phone number is (631) 265-5858.

Internal Medicine with taxonomy code 207R00000X.