Smith Haven Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SMITH HAVEN PEDIATRICS

Practice address

269 E Main St
Building D
Smithtown, NY 11787-2832

Phone

(631) 361-2121

Fax

(631) 361-2153

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Liz Sosulski

Title

Office Coordinator

Phone

(631) 863-6321

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295952448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E MAIN ST",
            "address_2": "BUILDING D",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872832",
            "telephone_number": "631-361-2121",
            "fax_number": "631-361-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 E MAIN ST",
            "address_2": "BUILDING D",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872832",
            "telephone_number": "631-361-2121",
            "fax_number": "631-361-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH HAVEN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOSULSKI",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "631-863-6321"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922084920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487649182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Slepian, MD
• Charles Slowey III, RPA-C
• Michelle Ann Slowey, RD
• Alexandra Smaguin, DPT, ATC
• Maureen T Smart, LCSW
• Amanda Smith
• Doreen Smith, NURSE PRACTITIONER
• Gerard J Smith, D.C.
• Kerri Smith
• Kerri Michelle Smith, LPN

• Pediatrics Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.