Smitha Mary Thotam
NP | Nurse Practitioner | 14+ years Exp
280 E Main St, Bay Shore
New York, 11706-8403
631-666-3939
Smitha Mary Thotam is a Bay Shore, New York based nurse practitioner with 14 years of experience in Nurse Practitioner. She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Smitha Mary Thotam is F305772 for Adult Health in New York. Her current practice location is 280 E Main St, Bay Shore. Patients can reach her at 631-666-3939 or can fax her at 631-666-1860. Smitha Mary Thotam is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1629262639.
Smitha Mary Thotam has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Smitha Mary Thotam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Smitha Mary Thotam |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 14+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2011 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 280 E Main St, Bay Shore,
New York, 11706-8403 |
| Phone: | 631-666-3939 |
| Fax: | 631-666-1860 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3173790730 |
| Enrollment ID: | I20120123000246 |
| NPI Number: | 1629262639 |
| NPI Enumeration Date: | 03 Sep, 2007 |
| NPI Last Update On: | 04 Aug, 2011 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smitha Mary Thotam are as mentioned below.
| License Number | Specialization | State | Status | |
| F305772 | Adult Health | New York | Primary | |
| 506599 | Registered Nurse | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Smitha Mary Thotam is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| South Shore Neurologic Associates, Pc (5092602110) | 27 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Smitha Mary Thotam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02877329 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Smitha Mary Thotam
280 E Main St, P. O. Box 9182
Bay Shore, New York |
| Zip: | 11706-8403 |
| Phone Number: | 631-666-3939 |
| Fax Number: | 631-666-1860 |
Patients can reach Smitha Mary Thotam at
280 E Main St, Bay Shore, New York or can
call to book an appointment on 631-666-3939.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.