SMB Medical, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

231488 Issued in NY

Legal business name

SMB MEDICAL, P.C.

Practice address

5901 94TH St
Ste. E10
Elmhurst, NY 11373-5049

Phone

(718) 271-3548

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Miriam Bayner, M.D.NPI 1942246673

Title

Owner

Phone

(718) 760-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

SMB Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SMB Medical, PC

  • Physical Medicine & Rehabilitation Physician
  • Rego Park, NY
  • NPI 1205004181
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie M. Bayner, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Rego Park, NY
  • NPI 1942246673
  Medicare reassignment Authorized official
• Raymond I Jaghab, DC

  • Chiropractor
  • West Hempstead, NY
  • NPI 1154446540
  NPD (past)
• Juliza Santiago, R.P.T

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1013087980
  NPD (past)
• Ricardo Arturo Santiago, R.P.T

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1023188836
  NPD (past)

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1073862397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 63RD RD",
            "address_2": "#531",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 94TH ST",
            "address_2": "STE. E10",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735049",
            "telephone_number": "718-271-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMB MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "BAYNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-760-2800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "231488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Smart Tooth Dental
• Smile Stride Physical Therapy PC
• Darcy Smith
• Nutthanathakrit Smith, FNP
• Tiffany Aliyah Smith, PA
• SNS Drugs, Inc (Comfort Pharmacy)

• Clinic/Center in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.