Smithtown ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SMITHTOWN ASC, LLC

Practice address

61 Southern Blvd Ste 1-4
Nesconset, NY 11767-1089

Phone

(111) 111-1111

NPI assigned

Sep 8, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Billy Ingram

Title

Member

Phone

(267) 455-4855

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1184505299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SOUTHERN BLVD STE 1-4",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671089",
            "telephone_number": "631-546-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SOUTHERN BLVD STE 1-4",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671089",
            "telephone_number": "111-111-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHTOWN ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "267-455-4855"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Grace Siino
• Andrea L Silver, CNS
• Aryel Rose Simonelli
• Laura A. Sinski, O.D.
• Marilou Slota
• Sound Sleep Solutions LLC
• Kerry Speidell, LMT 023361-1
• Cayla Spencer
• Stacy Shapiro, SLP-CCC, P.C.
• Linda Stopsky, RN, IBCLC

• Ambulatory Surgical Clinic/Center in Nesconset, NY
• Providers in Nesconset, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.