Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619934205 Individual Practitioner Male Practitioner

Dr. Keith G Ancona , MD

Pediatrics • Smithtown, NY

Professional Overview & Biography Verified Profile Summary

Dr. Keith Ancona, MD is a registered healthcare professional specializing in Pediatrics in Smithtown, NY. Practice services are available at 300 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 E Main St
Suite 5

Smithtown, NY 117872900

Telephone 6319796466
Fax 6319796475
Associated Practice Facility / Clinic
🏢 Sultan Mohiuddin, Md Facility NPI 1275612384

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Smithtown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Smithtown, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 221658

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02413734 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1033798582

Doctor of Osteopathic Medicine (D.O.)

Judith Murphy , NP

Nurse Practitioner - Pediatrics

NPI 1215266515

Nurse Practitioner

NPI 1255531000

Doctor of Medicine (M.D.)

NPI 1275590697

Doctor of Medicine (M.D.)

NPI 1306088067

Doctor of Medicine (M.D.), FAAP

NPI 1487611075

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 300 E MAIN ST, SUITE 5, SMITHTOWN, NY 117872900 (Tel: 6319796466)

📍
Updated Business Mailing Address July 08, 2007

Registered at 300 E MAIN ST, SUITE 5, SMITHTOWN, NY 117872900 (Tel: 6319796466)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH ANCONA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #221658 in NY)

🟢
Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619934205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

300 E Main St, Suite 5

Smithtown, NY 117872900

Phone: 6319796466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.