Connor Mattingly Smith, RRA

Radiology Practitioner Assistant · Patchogue, NY

Individual Active NPI

NPI number 1649064593

Practice location

101 Hospital Rd
Patchogue, NY 11772-4870
Phone
(631) 654-7100

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NPI record

NPI
1649064593
Entity type
Individual (Type 1)
Enumeration date
April 7, 2025
Last updated
April 7, 2025
Certified
April 7, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Radiology Practitioner Assistant Primary 243U00000X 000269 NY

Mailing address

65 Meadowoods Ln Apt 6
Moriches, NY 11955-2002
Phone
(518) 960-0209

About Connor Smith

Connor Mattingly Smith, RRA is a healthcare provider registered in the NPI registry with the primary taxonomy Radiology Practitioner Assistant (code 243U00000X). The practice location is 101 Hospital Rd, Patchogue, NY 11772-4870. The NPI number 1649064593 was assigned on April 7, 2025 and the record was last updated on April 7, 2025.

Connor Smith lists a license in the registry: #000269 (NY) for Radiology Practitioner Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Connor Mattingly Smith, RRA?

The NPI number is 1649064593.

What is the phone number of Connor Smith?

The phone number listed for the practice location is (631) 654-7100.

Where is Connor Smith located?

101 Hospital Rd, Patchogue, NY 11772-4870.

What is the taxonomy code for Connor Smith?

The primary taxonomy code is 243U00000X – Radiology Practitioner Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.