PETER SMITH (NPI# 1710360102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710360102 |
| Entity Type | Individual |
| Full Name | PETER SMITH |
| Credential | NP |
| Practice Address |
208 Roanoke Ave Riverhead NY 11901-2706 |
| Practice Telephone | 6313690104 |
| Mailing Telephone | 6313690104 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401875 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878232 | Peter Thomas Curry Smith | In Home Supportive Care | 18679 Baker Rd, Mount Vernon, OH 43050-9586 | 2020-10-15 |
| 1386116663 | Peter Smith | Physical Therapist | 1450 E Fairview Ave Ste 201, Meridian, ID 83642-1819 | 2018-12-26 |
| 1407360258 | Peter Smith | Specialist/Technologist | 415 Center St, Bridgewater, MA 02324-1309 | 2017-11-30 |
| 1851784839 | Peter Allen Smith | Counselor | 2240 N Hwy 89, Suite C, Harrisville, UT 84404-2675 | 2015-03-14 |
| 1356782072 | Peter Michael Smith | Physician Assistant | 282 Cabrini Blvd, Apt. 2g, New York, NY 10040-3618 | 2013-07-10 |
| 1861837700 | Peter Smith | Physical Therapist | 1121 Fairfield Ave, Eugene, OR 97402-2026 | 2013-05-06 |
| 1508136706 | Peter J. Smith | Marriage & Family Therapist | 332 Redwood Ave, Willits, CA 95490-3333 | 2012-01-04 |
| 1568695344 | Peter John Smith I | Physical Therapist | 167 Fairharbor Dr, Patchogue, NY 11772-3335 | 2009-08-27 |
| 1710152962 | Peter J Smith | Physician Assistant | 5715 Kittery Dr, Siute B, Colorado Springs, CO 80911-3552 | 2008-04-29 |
| 1285849778 | Peter Jordan Smith | Acupuncturist | 826 Shattuck Ave, Berkeley, CA 94707-2020 | 2007-05-10 |
| Street Address |
208 ROANOKE AVE |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922129626 | Manjula Sharma | Psychiatry & Neurology | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2007-04-02 |
| 1902413909 | Danielle Dahl | Counselor | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2020-09-24 |
| 1497308985 | Cristine Parmigiani | Social Worker | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-07-23 |
| 1104481043 | Emily Lynn Campo | Social Worker | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-05-07 |
| 1376107714 | Anthony Frederick Vecchiarello | Social Worker | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-04-30 |
| 1104382233 | Alexandra Taylor Poje | Rehabilitation Practitioner | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-02-13 |
| 1023573714 | Michelle Christoffersen | Case Manager/Care Coordinator | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-02-06 |
| 1770057267 | Eric Gerald Elie | Specialist/Technologist | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-17 |
| 1326512054 | Eleanor Marin-hurley | Specialist/Technologist | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-16 |
| 1881168839 | Victoria Oliver | Counselor | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487053583 | Mary L Kerch | Nurse Practitioner | 814 Harrison Avenue, Riverhead, NY 11901 | 2014-08-14 |
| 1578646055 | Martha Marie Seymour | Nurse Practitioner | 300 Center Drive 2nd Floor Wing, Riverhead Mental Health Clinic,county Center Building, Riverhead, NY 11901 | 2006-10-20 |
| 1972695377 | Robert W Southard | Nurse Practitioner | 1380 Roanoke Ave, Riverhead, NY 11901-2098 | 2006-09-29 |
| 1609204239 | Lauren Alison Hertwig | Nurse Practitioner | 1380 Roanoke Ave, Riverhead, NY 11901-2098 | 2013-10-16 |
| 1669512133 | Wendy J Mclaughlin | Nurse Practitioner | 550 E Main St, Suite 103, Riverhead, NY 11901-2672 | 2007-02-07 |
| 1528139656 | Jane Daryl Frith | Nurse Practitioner | 21 W 2nd St, Unit 3, Riverhead, NY 11901-2752 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.