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

Keith G Ancona, MD

Individual provider Pediatrics Physician · NPI 1619934205

Keith G Ancona, MD is a Pediatrics Physician in Smithtown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 E Main St Ste 5
Smithtown, NY 11787-2900
Phone: (631) 979-6466
Fax: (631) 979-6475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 221658 (NY)

Record details

NPI number1619934205
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESJuly 13, 2026
Mailing address300 E Main St, Suite 5, Smithtown, NY 11787-2900

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