Sophia Streete Smalls, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

218731 Issued in NY

Practice address

11513A Merrick Blvd
Jamaica, NY 11434-1851

Phone

(718) 558-8998

Fax

(718) 558-8999

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

State University of New York at Buffalo School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IECJAA
• FHIR API: https://fhir4.healow.com/fhir/r4/IECJAA/Endpoint/IECJAA
• FHIR API: https://fhir4.healow.com/fhir/r4/GDIFAA

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.

• SSS Family Medicine PC

  • Primary Care Clinic/Center
  • Jamaica, NY
  • NPI 1588987234
  Medicare reassignment Authorized official
• Abbydek Family Medical Practice PC

  dba Emmanuel O Fashakin MD

  • Primary Care Clinic/Center
  • Richmond Hill, NY
  • NPI 1447535323
  NPD (past)
• Alexey Migirov Medical PC

  • Pain Medicine Physician
  • Staten Island, NY
  • NPI 1306026596
  NPD (past)
• Alpha-K Family Medical Practice P.C.

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1659378172
  NPD (past)
• JHMC Diagnostic and Treatment Center

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1821045485
  NPD (past)
• TJH Medical Services, P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184670465

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1033298906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11513A MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341851",
            "telephone_number": "718-558-8998",
            "fax_number": "718-558-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11513A MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341851",
            "telephone_number": "718-558-8998",
            "fax_number": "718-558-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETE SMALLS",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02180096",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Stickel, PA-C
• Rachel Susan Stiene, L.C.S.W.
• Kara I. Storck, M.D.
• Ilana Straus, DDS
• Ramraji Streater
• Kristen Strom, MD
• Strong Children Wellness Medical Group, PLLC
• Effie Strouthides
• Abigail Stultz
• Johanne Stuppard

• Family Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.