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BRANCH PEDIATRICS AND ADOLESCENT GROUP P.C.
NPI 1740552942
Pediatrics in Smithtown, NY

Active since February 02, 2012CLIA 33D0159234 · Certificate of Compliance
300 E MAIN ST, SUITE 4/5, SMITHTOWN, NY 11787(631) 979-6466(631) 979-6475 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Branch Pediatrics And Adolescent Group P.c. NPPES

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

BRANCH PEDIATRICS AND ADOLESCENT GROUP P.C. (NPI 1740552942) is a healthcare organization registered as a pediatrics in Smithtown, New York and active in the NPI registry since February 2012. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Richard C Ancona, President, as its authorized official.

NPPES Registry Identity

NPI1740552942
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBRANCH PEDIATRICS AND ADOLESCENT GROUP P.C.
Location Address300 E MAIN ST, SUITE 4/5Smithtown, NY 11787-2900
Mailing Address300 E Main St, Suite 4/5Smithtown, NY 11787-2900 · (631) 979-6466 · Fax (631) 979-6475
Phone(631) 979-6466
Fax(631) 979-6475
Organization SubpartNo
Authorized OfficialRichard C AnconaPresident · (631) 979-6466
Enumeration DateFebruary 2, 2012
✔ NPI 1740552942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 135693
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 E MAIN ST, Smithtown, NY 11787
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Other Identifiers 4

Other0121165NY · Ghi
Other2696288NY · Ghi
Other2837205NY · United Healthcare
Medicare UPINB11227NY

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 33D0159234

Branch Pediatrics And Adolescent Group - Bchp · Smithtown, NY
Active · expires Mar 26, 2027
CLIA Number33D0159234
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMichael R. Stern
Laboratory Phone(631) 979-6466
Laboratory LocationBranch Pediatrics And Adolescent Group - Bchp300 E Main Street Suite 5, Smithtown, NY 11787
CLIA data matches this NPI record on: Address 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 17

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

MRS. YVONNE A MUDARO MA,CCC-A
Audiologist
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 265-3727
JUDITH MURPHY NP
Nurse Practitioner (Pediatrics)
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
DR. MARY ANN FLYNN GAMENG MD
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
RICHARD C ANCONA MD
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
SULTAN MOHIUDDIN, MD
Surgery (Vascular Surgery)
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 979-0212
MISS VANESSA FORBES AUD
Audiologist
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 656-6545
MICHAEL ROBERT STERN MD, FAAP
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
SULTAN MOHIUDDIN MD PC
Specialist
300 E MAIN ST, SUITE 2
SMITHTOWN, NY 11787
Suffolk County (631) 979-0212

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 Branch Pediatrics And Adolescent Group P.C.'s NPI number?

The NPI number for Branch Pediatrics And Adolescent Group P.C. is 1740552942. It was assigned to this organization in the NPPES registry on February 2, 2012.

Where is Branch Pediatrics And Adolescent Group P.C. located?

Branch Pediatrics And Adolescent Group P.C. is located at 300 E Main St Suite 4/5, Smithtown, NY 11787. The listed phone number is (631) 979-6466.

What is Branch Pediatrics And Adolescent Group P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Branch Pediatrics And Adolescent Group P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0159234) is associated with this NPI, valid through March 26, 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 Branch Pediatrics And Adolescent Group P.C. was last updated on February 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.