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HOMEGROWN ESSENTIAL WELLNESS PEDIATRICS & FAMILY
NPI 1700636164
Nurse Practitioner - Primary Care in Smithtown, NY

Active since March 26, 2024
257 E MAIN ST, SMITHTOWN, NY 11787(631) 248-2700(866) 456-0906 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homegrown Essential Wellness Pediatrics & Family NPPES

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

HOMEGROWN ESSENTIAL WELLNESS PEDIATRICS & FAMILY (NPI 1700636164) is a healthcare organization registered as a primary care in Smithtown, New York and active in the NPI registry since March 2024. The organization lists Heather Ann Riddle, Dnp, as its authorized official.

NPPES Registry Identity

NPI1700636164
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHOMEGROWN ESSENTIAL WELLNESS PEDIATRICS & FAMILY.
Location Address257 E MAIN STSmithtown, NY 11787-2807
Mailing Address257 E Main St Ste BSmithtown, NY 11787-2807 · (631) 248-2700 · Fax (866) 456-0906
Phone(631) 248-2700
Fax(866) 456-0906
Organization SubpartNo
Authorized OfficialHeather Ann RiddleDnp · (631) 248-2700
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1700636164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
257 E MAIN ST, Smithtown, NY 11787
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Other Names 2

Doing Business AsHomegrown Essential Wellness Pediatrics & Family
Doing Business AsHomegrown Essential Wellness Pediatrics & Family.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. MICHELE AHMADI DPM
Podiatrist (Foot & Ankle Surgery)
257 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (732) 735-7847
RDH MEDICAL HEALTHCARE SOLUTIONS, PA
Specialist
257 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 724-4664

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 Homegrown Essential Wellness Pediatrics & Family.'s NPI number?

The NPI number for Homegrown Essential Wellness Pediatrics & Family. is 1700636164. It was assigned to this organization in the NPPES registry on March 26, 2024. The provider is doing business as Homegrown Essential Wellness Pediatrics & Family.

Where is Homegrown Essential Wellness Pediatrics & Family. located?

Homegrown Essential Wellness Pediatrics & Family. is located at 257 E Main St, Smithtown, NY 11787. The listed phone number is (631) 248-2700.

What is Homegrown Essential Wellness Pediatrics & Family.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Homegrown Essential Wellness Pediatrics & Family. was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.