Smithtown Integrated Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

288963 Issued in NY

Legal business name

SMITHTOWN INTEGRATED HEALTH LLC

Practice address

32 Lawrence Ave Ste 206
Smithtown, NY 11787-3605

Phone

(631) 265-1763

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Stephanie J Wallman, DO

Title

Physician

Phone

(631) 265-1763

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1346768702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LAWRENCE AVE STE 206",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LAWRENCE AVE STE 206",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873605",
            "telephone_number": "631-265-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHTOWN INTEGRATED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "WALLMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-265-1763",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "288963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smithtown Family Wellness NP PC
• Smithtown Fire District
• Smithtown Health Care Management
• Smithtown Health LLC
• Smithtown Hearing Services Inc
• Smithtown Medical Specialists, PC
• Smithtown Pediatric Group, PC
• Smithtown Physical Therapy and Chiropractic , PLLC
• Smithtown Prescription Center Inc
• Smithtown Primary Medical Care, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.