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

Stephanie Pic

Individual provider Family Nurse Practitioner · NPI 1760368450

Stephanie Pic is a Nurse Practitioner in Smithtown, New York. Qualified in 2025, 1 year ago. Practices with Timothy D. Groth MD PC, a 44-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211
Phone: (631) 543-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F356971 (NY)

Record details

NPI number1760368450
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address994 W Jericho Tpke Ste 104, Smithtown, NY 11787-3211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Timothy D. Groth Md Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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