Organization Active NPI

Smith Nurse Practitioner in Family Health P.C.

  • Family Nurse Practitioner
  • Westhampton Beach, NY
National Provider Identifier
1366250409
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SMITH NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Practice address
10 Old Riverhead Rd Unit a
Westhampton Beach, NY 11978-1460
Phone
(631) 523-7826
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Doreen Smith, DNPNPI 1669909560
Title
President
Phone
(631) 523-7826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10 Old Riverhead Rd Unit a
Westhampton Beach, NY 11978-1460

Mailing address

336 Nicolls Rd
Deer Park, NY 11729-1806
Phone (631) 523-7826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203000102 NY Part B Supplier - Clinic/Group Practice 5496284630 Receives reassigned benefits from 4 practitioners
Practice locations: Westhampton Beach, NY

National Provider Directory

National Provider Directory

Locations

10 Old Riverhead Rd
Unit A
Westhampton Beach, NY 11978
Phone (631) 369-4292

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1366250409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NICOLLS RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291806",
            "telephone_number": "631-523-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD RIVERHEAD RD UNIT A",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781460",
            "telephone_number": "631-523-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH NURSE PRACTITIONER IN FAMILY HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-523-7826",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.