Riverhead Nurse Practitioner in Family Health PC
NPI 1750199899 · Family Nurse Practitioner · Bay Shore, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1750199899
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Doreen Smith, President(631) 523-7826
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 336 Nicolls RdDeer Park, NY 11729-1806Phone: (631) 523-7826
- 239 E Main StPatchogue, NY 11772-3105Phone: (631) 523-7826
- 10 Old Riverhead Rd Unit aWesthampton Beach, NY 11978-1460Phone: (631) 523-7826
Registry dates
- Enumerated
- 2024-12-20
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.