Mens Health of Smithtown

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

MENS HEALTH OF SMITHTOWN

Practice address

329 E Middle Country Rd Ste 8
Smithtown, NY 11787-2821

Phone

(631) 343-7880

Fax

(631) 343-7710

NPI assigned

Mar 13, 2019

Organization subpart

No

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

Authorized official

Name

Brian Michael Kaufman, ETC

Title

Presadent

Phone

(631) 343-7880

Specialties & licenses 1

Addresses

Other names 1

• mens health of smithtown Doing business as

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567814400000",
    "number": "1194284893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E MIDDLE COUNTRY RD STE 8",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872821",
            "telephone_number": "631-343-7880",
            "fax_number": "631-343-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E MIDDLE COUNTRY RD STE 8",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872821",
            "telephone_number": "631-343-7880",
            "fax_number": "631-343-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1056 W Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873212",
            "country_code": "US",
            "telephone_number": "631-486-9100",
            "fax_number": "631-343-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENS HEALTH OF SMITHTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-09-07",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESADENT",
        "authorized_official_telephone_number": "631-343-7880",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mens health of smithtown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "mens health of smithtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Perlson
• Scarlet Yvonne Melendez, R.N.
• Dara Melnick
• Mary L Mendes, LCSW, CEAP
• Michael Anthony Mennella, M.D.
• Mental Health Nurse Practitioner Consultation Services PC
• Stephanie Jeanne Menzer, MA CCC-SLP
• Alicia Mercado
• Heidy Nicole Merius, N.P.
• Ryan James Merrihue, PT, DPT

• Clinic Pharmacy in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinic Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.