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RIVERHEAD NURSE PRACTITIONER IN FAMILY HEALTH PC
NPI 1750199899
Nurse Practitioner - Family in Bay Shore, NY

Active since December 20, 2024
59 E MAIN ST, SUITE 1, BAY SHORE, NY 11706(631) 523-7826 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Feb 18, 2025, Dec 20, 2024 (3 updates tracked since 2024).

About Riverhead Nurse Practitioner In Family Health Pc NPPES

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

RIVERHEAD NURSE PRACTITIONER IN FAMILY HEALTH PC (NPI 1750199899) is a healthcare organization registered as a family in Bay Shore, New York and active in the NPI registry since December 2024. The organization maintains 3 additional practice locations and lists Doreen Smith, President, as its authorized official.

NPPES Registry Identity

NPI1750199899
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRIVERHEAD NURSE PRACTITIONER IN FAMILY HEALTH PC
Location Address59 E MAIN ST, SUITE 1Bay Shore, NY 11706-8364
Mailing Address336 Nicolls RdDeer Park, NY 11729-1806 · (631) 523-7826
Phone(631) 523-7826
Organization SubpartNo
Authorized OfficialDoreen SmithPresident · (631) 523-7826
Enumeration DateDecember 20, 2024
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1750199899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
59 E MAIN ST, Bay Shore, NY 11706
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Secondary Practice Locations 3

Location 110 Old Riverhead Rd Unit AWesthampton Beach, NY 11978-1460 · Phone (631) 523-7826
Location 2239 E Main StPatchogue, NY 11772-3105 · Phone (631) 523-7826
Location 3336 Nicolls RdDeer Park, NY 11729-1806 · Phone (631) 523-7826

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.

BAY SHORE MEDICAL HEALTHCARE PC
General Practice
59 E MAIN ST, SUITE 1
BAY SHORE, NY 11706
Suffolk County (917) 992-8049
MISS SUZANA MERCEDES PEREZ PIMENTEL
Local Education Agency (LEA)
59 E MAIN ST, APT 19
BAY SHORE, NY 11706
Suffolk County (516) 724-5282

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 Riverhead Nurse Practitioner In Family Health PC's NPI number?

The NPI number for Riverhead Nurse Practitioner In Family Health PC is 1750199899. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Riverhead Nurse Practitioner In Family Health PC located?

Riverhead Nurse Practitioner In Family Health PC is located at 59 E Main St Suite 1, Bay Shore, NY 11706. The listed phone number is (631) 523-7826.

What is Riverhead Nurse Practitioner In Family Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Riverhead Nurse Practitioner In Family Health PC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.