Letty Chandra Smith, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

265361 Issued in NY

Practice address

201 Manor PL
Eastern Long Island Hospital
Greenport, NY 11944-1222

Phone

(631) 477-1000

Fax

(631) 477-8108

NPI assigned

Jun 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment NPD
• The Long Island Home

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1821394016
  Medicare reassignment NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1730530940
  NPD
• The Long Island Home

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1568459204
  NPD
• Neurology Associates of Stony Brook, University Faculty Practice Corpo

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1699720888
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339286400000",
    "number": "1184883357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948101",
            "telephone_number": "631-444-3005",
            "fax_number": "631-444-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MANOR PL",
            "address_2": "EASTERN LONG ISLAND HOSPITAL",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441222",
            "telephone_number": "631-477-1000",
            "fax_number": "631-477-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LETTY",
        "middle_name": "CHANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2012-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "265361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Simeon by the Sound Center for Nursing and Rehabilitation, Inc.
• Bruce Edward Saul, LCSW
• Thomas John Schroder Sr., RPH.
• Joseph Carl Sciammarella Jr., MD
• Andrew Shemella, DDS
• In Kyung Song, DO
• Desiree Stemberga, MD
• Kai Maarten Sturmann, MD
• Sun River Health Inc
• Sunrise Busses, Inc.

• Psychiatry Physician in Greenport, NY
• Providers in Greenport, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.