Suffolk Nurse Practitioner in Family Health PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SUFFOLK NURSE PRACTITIONER IN FAMILY HEALTH PC

Practice address

140 N Belle Mead Ave Ste G
East Setauket, NY 11733-6400

Phone

(631) 689-8662

Fax

(631) 706-2221

NPI assigned

Jan 22, 2026

Organization subpart

No

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

Authorized official

Name

Doreen SmithNPI 1669909560

Title

Owner

Phone

(631) 523-7826

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doreen Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Smithtown, NY
  • NPI 1669909560
  Medicare reassignment NPD (past) Authorized official
• Mitchell W Ehrlich, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Farmingville, NY
  • NPI 1669510913
  NPD (past)

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1255280467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N BELLE MEAD AVE STE G",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336400",
            "telephone_number": "631-689-8662",
            "fax_number": "631-706-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N BELLE MEAD AVE STE G",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336400",
            "telephone_number": "631-689-8662",
            "fax_number": "631-706-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK NURSE PRACTITIONER IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-523-7826"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Stretch, M.D.
• Kristen Stuart, OD
• Suffol Pulmonary and Sleep Disorders
• Suffolk Ambulatory Surgery, PLLC
• Suffolk Medical Associates PLLC
• Suffolk Plastic Surgeons, PC
• Suffolk Pulmonary and Sleep Disorder, PC
• Suffolk Thoracic Surgery Associates
• Heesuck Suh, M.D.
• Edward Sun, MD

• Family Nurse Practitioner in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.

Verify at the official NPI Registry.