Setauket Nurse Practitioner in Family Health P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SETAUKET NURSE PRACTITIONER IN FAMILY HEALTH P.C.

Practice address

140 N Belle Mead Rd
Suite a
East Setauket, NY 11733-6400

Phone

(631) 523-7826

NPI assigned

Dec 20, 2024

Organization subpart

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Doreen Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Smithtown, NY
  • NPI 1669909560
  Medicare reassignment NPD Authorized official
• Sabrina Tsaabbast

  • Physical Therapist
  • Glassboro, NJ
  • NPI 1285296509

  NY

  Medicare reassignment

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1437967577",
    "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": "140 N BELLE MEAD RD",
            "address_2": "SUITE A",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336400",
            "telephone_number": "631-523-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETAUKET NURSE PRACTITIONER IN FAMILY HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "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": []
}

• Setauket Li Acupuncture PC
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• Setauket Medical & Rehabilitation PC (Thrive Medical of Setauket)
• Setauket Medical, PC
• Setauket Primary Medical Care PC
• Setauket Surgery, PC
• Debra A. Sfakis, REGISTERED NURSE
• Shruti M Shah
• Jennifer J Shanahan, R.D., C.D.N.

• Family Nurse Practitioner in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.