NPIMap

Organization Active NPI

Internal Medicine Assoc. of Smithtown,P.C.

  • Preferred Provider Organization
  • Hauppauge, NY
National Provider Identifier
1801098801
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
F303859 Issued in NY
Legal business name
INTERNAL MEDICINE ASSOC. OF SMITHTOWN,P.C.
Practice address
521 Route 111
Suite 202
Hauppauge, NY 11788-4370
Phone
(631) 361-4625
Fax
(631) 361-2021
NPI assigned
Jun 1, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mrs. Rosemary Gilberti
Title
Office Manager
Phone
(631) 361-4625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X F303859 NY Primary

Addresses

Primary practice location

521 Route 111
Suite 202
Hauppauge, NY 11788-4370

Mailing address

521 Route 111
Suite 202
Hauppauge, NY 11788-4370
Phone (631) 361-4625

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1801098801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "address_2": "SUITE 202",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884370",
            "telephone_number": "631-361-4625",
            "fax_number": "631-361-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "address_2": "SUITE 202",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884370",
            "telephone_number": "631-361-4625",
            "fax_number": "631-361-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOC. OF SMITHTOWN,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "GILBERTI",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-361-4625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "F303859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.