Zachary David Smith, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F349814 Issued in NY

Practice address

144 Standart Ave
Auburn, NY 13021-1508

Phone

(315) 255-1100

Fax

(315) 255-1322

NPI assigned

Jan 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Auburn Dermatology PLLCGroup PAC ID 5890131247, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Auburn Dermatology PLLC

  • Dermatology Physician
  • Auburn, NY
  • NPI 1275221053
  Medicare reassignment Care Compare group NPD
• Jeffrey Laduca MD PC

  • Specialist
  • Auburn, NY
  • NPI 1760653380
  Medicare reassignment NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1063126522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 STANDART AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211508",
            "telephone_number": "315-255-1100",
            "fax_number": "315-255-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 W Genesee Street Rd",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "131529303",
            "country_code": "US",
            "telephone_number": "315-685-1100",
            "fax_number": "315-255-1322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 Manlius Center Rd",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579530",
            "country_code": "US",
            "telephone_number": "315-478-1100",
            "fax_number": "315-255-1322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "middle_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F349814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zsmith@laduca.medentdirect.com",
            "affiliation": "N",
            "address_1": "144 Standart Ave",
            "city": "Auburn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130211509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Elaine Sloan, LMSW
• Elizabeth Michelle Smith, LPN
• Gabrielle Lillian Margaret Smith, LMSW
• Robin Smith, LPN
• Shannon Pauline Smith, LPN
• Joshua E Smolkin, L.AC
• So to Speak Speech and Language Therapy
• Michael Joseph Sojka, MD
• Jonathan Michael Sorensen, PA-C
• Lynnsey Sorrentino, LMSW

• Nurse Practitioner in Auburn, NY
• Providers in Auburn, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.