Smithtown Cardiovascular Risk Intervention Program

Primary specialty

SpecialistTaxonomy code 174400000X

License

2046731 Issued in NY

Legal business name

SMITHTOWN CARDIOVASCULAR RISK INTERVENTION PROGRAM

Practice address

104 La Rue Dr
Huntington, NY 11743-2502

Phone

(631) 427-1818

Fax

(631) 427-2220

NPI assigned

May 18, 2009

Last updated

May 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan S Lown, M.D.

Title

Ceo

Phone

(631) 427-1818

Specialties & licenses 1

Addresses

Tax ID family

Delta Sleep Center2 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.

• Delta Sleep Center

  • Sleep Specialist (PhD)
  • Smithtown, NY
  • NPI 1366873259
  NPD tax ID

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1942435136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LA RUE DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432502",
            "telephone_number": "631-427-1818",
            "fax_number": "631-427-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LA RUE DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432502",
            "telephone_number": "631-427-1818",
            "fax_number": "631-427-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHTOWN CARDIOVASCULAR RISK INTERVENTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "LOWN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-427-1818",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2046731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis J Smith, MD
• Rebecca Smith
• Rochelle Smith
• Sheila E Smith, LMSW
• Vanessa C Smith, LPN
• Alyssa Lynn Smyth
• Denise Snow, CNM
• Jennifer Marie Snyder
• David Sobarzo Jr., D.D.S
• Christina Solimine, NP-C

• Specialist in Huntington, NY
• Providers in Huntington, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.