Edward Smith III, RVS

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

00058580 Issued in NY

Practice address

1145 E 35TH St
Suite# 5M
Brooklyn, NY 11210-4241

Phone

(718) 813-7657

NPI assigned

Apr 1, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333238400000",
    "number": "1083980262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E 35TH ST",
            "address_2": "SUITE# 5M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104241",
            "telephone_number": "718-813-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E 35TH ST",
            "address_2": "SUITE# 5M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104241",
            "telephone_number": "718-813-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RVS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NY",
            "license": "00058580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Marie Smith, LMSW
• Dennis D Smith, PT
• Dorothy J Smith
• Earlcia Smith
• Eboniqua Smith, LCSW
• Edward Fred Smith, M.D.
• Ekeithea Shakema Smith, LMSW
• Elisa Jeanne Smith, LCSW
• Elizabeth Elaine Smith, LCAT, ATR-BC, CCLS
• Emma Helen Smith, RN

• Radiologic Technologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.