Active NPI
Virginia Beaton FNP- Family Health PC
- Primary Care Clinic/Center
- Smithtown, NY
National Provider Identifier
1639504327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- F334054-1
- Legal business name
- VIRGINIA BEATON FNP- FAMILY HEALTH PC
- Practice address
- 16 Pine Ridge Dr
Smithtown, NY 11787-4024 - Phone
- (631) 499-3223
- Fax
- (631) 486-4531
- NPI assigned
- Sep 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia Beaton
- Title
- Company Owner/ Nurse Practioner
- Phone
- (631) 499-3223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | F334054-1 | NY | Primary |
Addresses
Primary practice location
16 Pine Ridge Dr
Smithtown, NY 11787-4024
Mailing address
16 Pine Ridge Dr
Smithtown, NY 11787-4024
Phone (631) 499-3223
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388102400000",
"number": "1639504327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PINE RIDGE DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874024",
"telephone_number": "631-499-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PINE RIDGE DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874024",
"telephone_number": "631-499-3223",
"fax_number": "631-486-4531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA BEATON FNP- FAMILY HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-12",
"last_updated": "2013-12-27",
"status": "A",
"authorized_official_last_name": "BEATON",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "COMPANY OWNER/ NURSE PRACTIONER",
"authorized_official_telephone_number": "631-499-3223"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "F334054-1",
"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 Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.