Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Homegrown Essential Pediatrics

Organization Primary Care Nurse Practitioner · NPI 1700636164

Homegrown Essential Pediatrics is a Primary Care Nurse Practitioner in Smithtown, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

267 E Main St Bldg C
Smithtown, NY 11787-2847
Phone: (631) 248-2700
Fax: (866) 456-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1700636164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Riddle — Dnp · (631) 248-2700
Other names Homegrown Essential Wellness Pediatrics & Family; Homegrown Essential Wellness Pediatrics & Family
NPI enumeratedMarch 26, 2024
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address267 E Main St Bldg C, Smithtown, NY 11787-2847

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