NPIMap

Individual provider Active NPI

Doreen Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1669909560
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342007 Issued in NY
Practice address
300 E Main St Ste 2
Smithtown, NY 11787-2900
Phone
(631) 780-6126
Fax
(631) 256-4844
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 661228 NY
Family Nurse Practitioner 363LF0000X 342007 NY Primary

Addresses

Primary practice location

300 E Main St Ste 2
Smithtown, NY 11787-2900

Mailing address

10 Old Riverhead Road
Westhampton Beach, NY 11946
Phone (631) 369-4292

Other practice location 1

10 Old Riverhead Rd
Westhampton Beach, NY 11978-1460
Phone (631) 443-4493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531001711 NY Practitioner - Nurse Practitioner 5092070656 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
661228NYMDRegistered Nurse
342007NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sayville Medical and Rehab PC CurrentSince Jun 1, 2020 Accepting new patients
Setauket Nurse Practitioner in Family Health P.C. Family CurrentSince Dec 1, 2024 Accepting new patients
Seaford Family Health NP PC Family CurrentSince Oct 13, 2024 Accepting new patients
Riverhead Nurse Practitioner in Family Health PC Family CurrentSince Jan 29, 2025 Accepting new patients
Smith Nurse Practitioner in Family Health P.C. Family CurrentSince Dec 1, 2024 Accepting new patients
Smithtown Family Health NP PC Family CurrentSince Sep 11, 2019 Accepting new patients
West Babylon Family Health NP PC Family CurrentSince Oct 13, 2024 Accepting new patients
Setauket Medical & Rehabilitation PC CurrentSince Aug 25, 2020 Accepting new patients
East End Nurse Practitioner in Family Health PC Family CurrentSince Nov 19, 2025 Accepting new patients
Northstar Family Health NP PC Family PastSince Aug 1, 2023 Accepting new patients
Westhampton Nurse Practitioner in Family Health PC Family Past Accepting new patients
Suffolk Nurse Practitioner in Family Health PC Family Past Accepting new patients
Brookhaven Gastroenterology Associates, P.C. PastSince Jul 24, 2022 Accepting new patients

Locations

160 Middle Rd
Ste 1
Sayville, NY 11782
Phone (631) 239-8262

140 N Belle Mead Ave
Ste A
Setauket, NY 11733
Phone (631) 363-9060

3400 Nesconset Hwy
Ste 104
Setauket, NY 11733
Phone (631) 689-5252

300 E Main St
Ste 2
Smithtown, NY 11787
Phone (631) 780-6128

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFBACA

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669909560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD RIVERHEAD ROAD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "11946",
            "telephone_number": "631-369-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE 2",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872900",
            "telephone_number": "631-780-6126",
            "fax_number": "631-256-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Old Riverhead Rd",
            "address_purpose": "LOCATION",
            "city": "Westhampton Beach",
            "state": "NY",
            "postal_code": "119781460",
            "country_code": "US",
            "telephone_number": "631-443-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOREEN",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "661228",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.