RIVERHEAD NURSE PRACTITIONER IN FAMILY HEALTH PC
NPI 1750199899
Nurse Practitioner - Family in Bay Shore, NY
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
Specialties & Licenses
Secondary Practice Locations 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Riverhead Nurse Practitioner In Family Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Riverhead Nurse Practitioner In Family Health PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Riverhead Nurse Practitioner In Family Health PC enrolled in Medicare?
Yes. Riverhead Nurse Practitioner In Family Health PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverhead Nurse Practitioner In Family Health PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Riverhead Nurse Practitioner In Family Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 20 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.
# Riverhead Nurse Practitioner In Family Health Pc · NPI 1750199899
Family organization in Bay Shore, New York. Organization record, active in the CMS NPPES registry since December 20, 2024.
## Identity
- **NPI:** 1750199899 (Entity type: Organization)
- **Enumerated:** December 20, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Doreen Smith, PRESIDENT
## Practice location
- **Address:** 59 E MAIN ST, SUITE 1, Bay Shore, NY 11706-8364
- **Phone:** (631) 523-7826
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750199899) · Data from the CMS NPPES public registry.