JEANNINE R. SMITH P.A.
NPI 1528105095
Physician Assistant in Stony Brook, NY

Q: What is Jeannine Smith's NPI number?

The NPI number for Jeannine Smith is 1528105095. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Jeannine Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeannine Smith was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 31, 2007

100 PATRIOTS RD, STONY BROOK, NY 11790(631) 444-8608(631) 444-8778 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeannine R. Smith P.a. NPPES

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

JEANNINE R. SMITH P.A. (NPI 1528105095) is an individual physician assistant in Stony Brook, New York, licensed in New York (003338-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1528105095

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJEANNINE R. SMITHCredential: P.A.

Location Address100 PATRIOTS RDStony Brook, NY 11790-3318

Mailing Address100 Patriots RdStony Brook, NY 11790-3318 · (631) 444-8608 · Fax (631) 444-8778

Phone(631) 444-8608

Fax(631) 444-8778

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 16, 2010

✔ NPI 1528105095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 003338-1

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 PATRIOTS RD, Stony Brook, NY 11790

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Other Identifiers 1

Medicare UPINP29361NY

Other Providers at the Same Location NPPES 13

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

STATE OF NEW YORK COMPTROLLERS OFFICE

Skilled Nursing Facility