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

Connor Mattingly Smith, RRA

Individual provider Radiology Practitioner Assistant · NPI 1649064593

Connor Mattingly Smith, RRA is a Radiology Practitioner Assistant in Patchogue, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 654-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Practitioner Assistant (primary) Taxonomy 243U00000X · Licence 000269 (NY)

Record details

NPI number1649064593
Entity typeIndividual (Type 1)
GenderMale
Credentials RRA
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025