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Suffolk Nurse Practitioner in Family Health PC

NPI 1255280467ActiveOrganization· Nurse Practitioner, Family· East Setauket, NY

Nurse Practitioner, Family in East Setauket, New York, registered in NPPES in January 2026. The authorized official on file is Doreen Smith, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1255280467
StatusActive
Entity typeOrganization
NPI issuedJan 22, 2026
Last updated in NPPESFeb 2, 2026
Certified by providerFeb 2, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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