NPIMap

Organization Active NPI

Smithtown Health LLC

  • Gastroenterology Physician
  • Smithtown, NY
National Provider Identifier
1659639110
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SMITHTOWN HEALTH LLC
Practice address
50 Route 111
Suite 302
Smithtown, NY 11787-3738
Phone
(516) 488-9427
Fax
(800) 557-3140
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Farzad Forohar, M.D.
Title
Member
Phone
(516) 488-9427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

50 Route 111
Suite 302
Smithtown, NY 11787-3738

Mailing address

50 Route 111
Suite 302
Smithtown, NY 11787-3738
Phone (516) 488-9427

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1659639110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROUTE 111",
            "address_2": "SUITE 302",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873738",
            "telephone_number": "516-488-9427",
            "fax_number": "800-557-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 111",
            "address_2": "SUITE 302",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873738",
            "telephone_number": "516-488-9427",
            "fax_number": "800-557-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHTOWN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "FOROHAR",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-488-9427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "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 May 2, 2012; 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.