Long Island Integrative Functional Medicine, PC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

LONG ISLAND INTEGRATIVE FUNCTIONAL MEDICINE, PC

Practice address

100 Terry Rd
Smithtown, NY 11787-3811

Phone

(631) 979-7400

Fax

(631) 979-7440

NPI assigned

Aug 31, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Evangelia Lila Augoustiniatos, MD

Title

President

Phone

(631) 398-3206

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1295643138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TERRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811",
            "telephone_number": "631-979-7400",
            "fax_number": "631-979-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TERRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811",
            "telephone_number": "631-979-7400",
            "fax_number": "631-979-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND INTEGRATIVE FUNCTIONAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "AUGOUSTINIATOS",
        "authorized_official_first_name": "EVANGELIA",
        "authorized_official_middle_name": "LILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-398-3206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Elder Care LCSW PLLC
• Long Island Gastroenterology and Liver Disease P.C.
• Long Island Gynecologic Oncologists, PC
• Long Island Hand Rehab
• Long Island Home Medical Care, P.C.
• Long Island Medical Office, PLLC
• Long Island Neurological, PC
• Long Island Psychiatric Services - NP in Psychiatry, PLLC
• Long Island Psychiatry, PC
• Long Island Select Healthcare, Inc.

• Integrative Medicine Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Integrative Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.