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NORTH SHORE DIGESTIVE MEDICINE PC
NPI 1407114960
Internal Medicine - Gastroenterology in Smithtown, NY

Active since May 02, 2012CLIA 33D1060709 · Certificate of Compliance
50 ROUTE 111, SUITE 302, SMITHTOWN, NY 11787(516) 488-9427(800) 557-3140 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Shore Digestive Medicine Pc NPPES

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

NORTH SHORE DIGESTIVE MEDICINE PC (NPI 1407114960) is a healthcare organization registered as a gastroenterology in Smithtown, New York and active in the NPI registry since May 2012. The organization holds a CLIA Certificate of Compliance certificate valid through January 4, 2027 and lists Farzad Forohar, Member, as its authorized official.

NPPES Registry Identity

NPI1407114960
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNORTH SHORE DIGESTIVE MEDICINE PC
Location Address50 ROUTE 111, SUITE 302Smithtown, NY 11787-3738
Mailing Address50 Route 111, Suite 302Smithtown, NY 11787-3738 · (516) 488-9427 · Fax (800) 557-3140
Phone(516) 488-9427
Fax(800) 557-3140
Organization SubpartNo
Authorized OfficialFarzad ForoharMember · (516) 488-9427
Enumeration DateMay 2, 2012
✔ NPI 1407114960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
50 ROUTE 111, Smithtown, NY 11787
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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 33D1060709

North Shore Digestive Medicine PC · Smithtown, NY
Active · expires Jan 4, 2027
CLIA Number33D1060709
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorDr. Fanyi Kong
Laboratory Phone(631) 724-5300
Laboratory LocationNorth Shore Digestive Medicine PC50 Route 111, Suite 302, Smithtown, NY 11787
CLIA data matches this NPI record on: Address Name
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 14

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

ROBERT L WAGNER DMD
Dentist
50 ROUTE 111, SUITE 301
SMITHTOWN, NY 11787
Suffolk County (631) 265-2990
NORTH SHORE ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
50 ROUTE 111, SUITE 214
SMITHTOWN, NY 11787
Suffolk County (631) 265-3435
GLEN KORSEN DDS
Dentist (Pediatric Dentistry)
50 ROUTE 111, SUITE 214
SMITHTOWN, NY 11787
Suffolk County (631) 265-3266
MR. FARZAD FOROHAR M.D.
Internal Medicine (Gastroenterology)
50 ROUTE 111, SUITE 302
SMITHTOWN, NY 11787
Suffolk County (631) 724-5300
MRS. NICOLE MARIE VOLANTE M.S.
Physician Assistant
50 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 352-3556
ALAN L SPIELBERG MD PC
Internal Medicine (Gastroenterology)
50 ROUTE 111, SUITE 302
SMITHTOWN, NY 11787
Suffolk County (516) 488-9427
DR. HOWARD BURGER DDS
Dentist (General Practice)
50 ROUTE 111, SUITE 212
SMITHTOWN, NY 11787
Suffolk County (631) 499-4904
ALLY ANESTHESIA PLLC
Anesthesiology
50 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (917) 575-8964

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 North Shore Digestive Medicine PC's NPI number?

The NPI number for North Shore Digestive Medicine PC is 1407114960. It was assigned to this organization in the NPPES registry on May 2, 2012.

Where is North Shore Digestive Medicine PC located?

North Shore Digestive Medicine PC is located at 50 Route 111 Suite 302, Smithtown, NY 11787. The listed phone number is (516) 488-9427.

What is North Shore Digestive Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does North Shore Digestive Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1060709) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Shore Digestive Medicine PC was last updated on May 2, 2012. 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.