Riverhead Nurse Practitioner in Family Health PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RIVERHEAD NURSE PRACTITIONER IN FAMILY HEALTH PC

Practice address

59 E Main St
Suite 1
Bay Shore, NY 11706-8364

Phone

(631) 523-7826

NPI assigned

Dec 20, 2024

Organization subpart

No

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

Authorized official

Name

Doreen Smith, NPNPI 1669909560

Title

President

Phone

(631) 523-7826

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Doreen Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Smithtown, NY
  • NPI 1669909560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1750199899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NICOLLS RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291806",
            "telephone_number": "631-523-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068364",
            "telephone_number": "631-523-7826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 E Main St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723105",
            "country_code": "US",
            "telephone_number": "631-523-7826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Old Riverhead Rd Unit A",
            "address_purpose": "LOCATION",
            "city": "Westhampton Beach",
            "state": "NY",
            "postal_code": "119781460",
            "country_code": "US",
            "telephone_number": "631-523-7826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Nicolls Rd",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117291806",
            "country_code": "US",
            "telephone_number": "631-523-7826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERHEAD NURSE PRACTITIONER IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-523-7826",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rivera
• Miles Rivera, LMSW
• Sylvana Valeria Rivera
• Valeria Rivera
• Victor Rivera I, LMSW
• Hasan Aijaz Rizvi, MD
• Anthony Joseph Rizzo, DO
• Catherine A Rizzo, DC
• Vito Joseph Rizzo, DPM
• RNB Optical, Inc.

• Family Nurse Practitioner in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.