TY SMITH NURSE PRACTITIONER ADULT
NPI 1912788613
Clinic/Center - Primary Care in Valley Stream, NY

Q: What is Ty Smith Nurse Practitioner Adult's NPI number?

The NPI number for Ty Smith Nurse Practitioner Adult is 1912788613. It was assigned to this organization in the NPPES registry on October 9, 2023.

Q: What is Ty Smith Nurse Practitioner Adult's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since October 09, 2023

76 S CENTRAL AVE STE 1A, VALLEY STREAM, NY 11580(516) 770-6102 Get Directions Write a Review

NPPES record last updated: January 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2023, Oct 9, 2023 (2 updates tracked since 2023).

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About Ty Smith Nurse Practitioner Adult NPPES

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

TY SMITH NURSE PRACTITIONER ADULT (NPI 1912788613) is a healthcare organization registered as a primary care in Valley Stream, New York and active in the NPI registry since October 2023. The organization lists Tamara Y Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1912788613

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameTY SMITH NURSE PRACTITIONER ADULT

Location Address76 S CENTRAL AVE STE 1AValley Stream, NY 11580-5405

Mailing Address1595 N Central Ave Apt 39Valley Stream, NY 11580-1186 · (516) 770-6102

Phone(516) 770-6102

Organization SubpartNo

Authorized OfficialTamara Y SmithOwner · (516) 284-7521

Enumeration DateOctober 9, 2023

Last NPPES UpdateJanuary 27, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2024

✔ NPI 1912788613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

76 S CENTRAL AVE STE 1A, Valley Stream, NY 11580

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Other Providers at the Same Location NPPES

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

TAMARA Y SMITH NP

Nurse Practitioner (Gerontology)

76 S CENTRAL AVE STE 1A
VALLEY STREAM, NY 11580

Nassau County (516) 284-7521

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 Ty Smith Nurse Practitioner Adult's NPI number?

The NPI number for Ty Smith Nurse Practitioner Adult is 1912788613. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Ty Smith Nurse Practitioner Adult located?

Ty Smith Nurse Practitioner Adult is located at 76 S Central Ave Ste 1A, Valley Stream, NY 11580. The listed phone number is (516) 770-6102.

What is Ty Smith Nurse Practitioner Adult's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ty Smith Nurse Practitioner Adult was last updated on January 27, 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.