Jenna Rose Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

020030-1 Issued in NY

Practice address

540 Fulton Ave
Hempstead, NY 11550-4364

Phone

(516) 750-2500

NPI assigned

Sep 12, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3149/brand/1/csg/22/fhir/r4
• Direct secure messaging: jennasmith@mjsmpdtwhp-ny.direct.office.nextgen.com

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.

• Planned Parenthood of Greater New York

  • Health Service Clinic/Center
  • Hempstead, NY
  • NPI 1427090190
  NPD

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124576772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504364",
            "telephone_number": "516-750-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504364",
            "telephone_number": "516-750-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12510 Queens Blvd",
            "address_2": "Suite 2701",
            "address_purpose": "LOCATION",
            "city": "Kew Gardens",
            "state": "NY",
            "postal_code": "114151519",
            "country_code": "US",
            "telephone_number": "718-577-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "020030-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleepwellny LTD.
• Howard Slomko, D.O.
• Rebecca Ann Slone
• Jacqueline Small
• Nadia Smith-Litchfield, R.N.
• Rachel Smith, L.P.N
• Roxanne Smith
• Tevin Smith
• Mark Soffer, DC
• Maribel Solis, RPH

• Medical Physician Assistant in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.