Organization Active NPI

Rheumatology Associates of L.I., LLP

  • Specialist
  • Smithtown, NY
National Provider Identifier
1689660573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RHEUMATOLOGY ASSOCIATES OF L.I., LLP
Practice address
315 Middle Country Rd
Smithtown, NY 11787-2817
Phone
(631) 360-7778
Fax
(631) 979-1609
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lynette Byrnes
Title
Business Administrator
Phone
(631) 360-3796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

315 Middle Country Rd
Smithtown, NY 11787-2817

Mailing address

315 Middle Country Rd
Smithtown, NY 11787-2817
Phone (631) 360-3796

Other identifiers 1

IdentifierTypeStateIssuer
02501664MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000490 NY Part B Supplier - Clinic/Group Practice 6103810791 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
Practice locations: Melville, NY; Port Jefferson Station, NY; Riverhead, NY; Smithtown, NY; Flushing, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Rheumatology Ascs of Long Island2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

554 E Main St
Riverhead, NY 11901
Phone (631) 360-7778

315 E Main St
Ste 6
Smithtown, NY 11787

521 Route 111
Ste 307
Smithtown, NY 11788
Phone (877) 275-3370

315 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 360-7778

1200 South Ave
Staten Island, NY 10314
Phone (718) 370-1400

1200 South Ave
Ste 307
Staten Island, NY 10314
Phone (718) 698-3777

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689660573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MIDDLE COUNTRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872817",
            "telephone_number": "631-360-3796",
            "fax_number": "631-360-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MIDDLE COUNTRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872817",
            "telephone_number": "631-360-7778",
            "fax_number": "631-979-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY ASSOCIATES OF L.I., LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "631-360-3796",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02501664",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.