Organization Active NPI

Precision Medical Arts of New York PLLC

  • Specialist
  • Smithtown, NY
National Provider Identifier
1316499684
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
168297 Issued in NY
Legal business name
PRECISION MEDICAL ARTS OF NEW YORK PLLC
Practice address
267 E Main St
BLDG B3
Smithtown, NY 11787-2874
Phone
(631) 366-2220
Fax
(631) 366-1018
NPI assigned
Nov 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Nabil K Kiridly, M.D.
Title
Owner
Phone
(631) 366-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 168297 NY Primary

Addresses

Primary practice location

267 E Main St
BLDG B3
Smithtown, NY 11787-2874

Mailing address

267 E Main St
BLDG B3
Smithtown, NY 11787-2874
Phone (631) 366-2220

National Provider Directory

National Provider Directory

Locations

240 Patchogue Yaphank Rd
Ste 102
East Patchogue, NY 11772
Phone (631) 366-2220

267 E Main St
Ste B3
Smithtown, NY 11787
Phone (631) 366-2220

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1316499684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST",
            "address_2": "BLDG B3",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872874",
            "telephone_number": "631-366-2220",
            "fax_number": "631-366-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST",
            "address_2": "BLDG B3",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872874",
            "telephone_number": "631-366-2220",
            "fax_number": "631-366-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MEDICAL ARTS OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "KIRIDLY",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-366-2220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "168297",
            "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 Nov 2, 2016; 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.