Judith Sadian Smith-Jackson, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

517231-1 Issued in NY

Practice address

546B Buchanan Ave
Staten Island, NY 10314-4159

Phone

(718) 782-0589

Fax

(718) 384-7715

NPI assigned

Apr 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1033475637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546B BUCHANAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-782-0589",
            "fax_number": "718-384-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546B BUCHANAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144159",
            "telephone_number": "718-782-0589",
            "fax_number": "718-384-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-JACKSON",
        "first_name": "JUDITH",
        "middle_name": "SADIAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "517231-1",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "517231-1",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "517231-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Smilow
• Meredith Smilowitz-Zajda, MS,ED.
• Olesya Smirnova
• Vannessa Smith Washington, M.S
• Seun Smith-Crowther, LPN
• Melissa Jill Smith-Millan
• Aaron Smith
• Adam Smith, PHD
• Allison Margaret Smith, MSOT
• Amanda Smith, MD

• Medical-Surgical Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.