Active NPI
West Babylon Family Health NP PC
- Family Nurse Practitioner
- Sayville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WEST BABYLON FAMILY HEALTH NP PC
- Practice address
- 160 Middle Rd Ste 1
Sayville, NY 11782-3126 - Phone
- (631) 523-7826
- NPI assigned
- Mar 4, 2024
- Last updated
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doreen Smith
- Title
- President
- Phone
- (631) 523-7826
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
160 Middle Rd Ste 1
Sayville, NY 11782-3126
Mailing address
336 Nicolls Rd
Deer Park, NY 11729-1806
Phone (631) 523-7826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
944 Little East Neck Rd
West Babylon, NY 11704
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Smithtown, NY
- NPI 1669909560
-
- Physical Therapist
- Levittown, NY
- NPI 1649248667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1164289393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 NICOLLS RD",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117291806",
"telephone_number": "631-523-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MIDDLE RD STE 1",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823126",
"telephone_number": "631-523-7826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST BABYLON FAMILY HEALTH NP PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DOREEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-523-7826"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.