Active NPI
Infectious Disease Medical Practice of Ny LLC
- Infectious Disease Physician
- Smithtown, NY
National Provider Identifier
1225255524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- INFECTIOUS DISEASE MEDICAL PRACTICE OF NY LLC
- Practice address
- 48 Route 25a
Suite 308
Smithtown, NY 11787-1431 - Phone
- (631) 864-6111
- Fax
- (631) 864-5004
- NPI assigned
- Apr 19, 2007
- 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
- Dr. Donna R. Lesser, DO
- Title
- President
- Phone
- (631) 864-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
48 Route 25a
Suite 308
Smithtown, NY 11787-1431
Mailing address
16 Medford LN
East Northport, NY 11731-5228
Phone (631) 864-6111
National Provider Directory
National Provider DirectoryLocations
944 W Jericho Tpke
Ste 201
Smithtown, NY 11787
Phone (631) 864-6111
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Hempstead, NY
- NPI 1144211202
-
- Infectious Disease Physician
- New York, NY
- NPI 1578669156
-
- Infectious Disease Physician
- Port Washington, NY
- NPI 1770735920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1225255524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MEDFORD LN",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117315228",
"telephone_number": "631-864-6111",
"fax_number": "631-486-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ROUTE 25A",
"address_2": "SUITE 308",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871431",
"telephone_number": "631-864-6111",
"fax_number": "631-864-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASE MEDICAL PRACTICE OF NY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "LESSER",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-864-6111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.