Individual provider Active NPI

Karen Victoria Smrek, NP

  • Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1740361377
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
302950 Issued in NY
Practice address
Stony Brook University Medical Ctr
T-19,HSC,Room 080
Stony Brook, NY 11794
Phone
(631) 444-1820
Fax
(631) 444-8963
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 302950 NY Primary

Addresses

Primary practice location

Stony Brook University Medical Ctr
T-19,HSC,Room 080
Stony Brook, NY 11794

Mailing address

205 Glenwood LN
Port Jefferson, NY 11777-1506
Phone (631) 476-5701

Other names 1

  • Mrs. Karen Victoria Garland-Smrek Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000817 NY Order and Referring Only - Nurse Practitioner 3577704691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302950NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1740361377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GLENWOOD LN",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771506",
            "telephone_number": "631-476-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY MEDICAL CTR",
            "address_2": "T-19,HSC,ROOM 080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-1820",
            "fax_number": "631-444-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMREK",
        "first_name": "KAREN",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "302950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GARLAND-SMREK",
            "middle_name": "VICTORIA",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.