Michelle Small, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

199053 Issued in NY

Practice address

90 Seacord Rd
New Rochelle, NY 10804-3217

Phone

(914) 715-4306

NPI assigned

Oct 25, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New York State Department of Correctional Services

  • Special Hospital
  • Bedford Hills, NY
  • NPI 1508287384
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1003211681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SEACORD RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043217",
            "telephone_number": "914-715-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SEACORD RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043217",
            "telephone_number": "914-715-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-25",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "199053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Joan Skeene
• Marianne Skelly, M.S.
• Rickie Slade Jr.
• Phyllis L Sloate, PHD
• Cheryl Small Jackson
• Tiffany Small
• Smart Integrated Healthcare New York Inc
• Aisha Smith-Ellis
• Alia Smith, RN
• Ashley Smith, LMSW

• Obstetrics & Gynecology Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.