Individual provider Active NPI

Charlotte Jane Smith, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1154642197
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD455186 Issued in PA
Practice address
2146 Bartow Ave SPC 280E
Bronx, NY 10475-4629
Phone
(646) 346-7927
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD455186 PA Primary

Addresses

Primary practice location

2146 Bartow Ave SPC 280E
Bronx, NY 10475-4629

Mailing address

75 Decatur Rd
New Rochelle, NY 10801-5741
Phone (203) 206-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230306001336 NY Practitioner - Family Practice 7911219571 Reassigns benefits to 2 organizations
I20250210002777 CT Practitioner - Family Practice 7911219571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, shared by 3 NPIs, 658 clinicians

Practice addresses (Care Compare)

2146 Bartow Ave
Bronx, NY 10475-4629
Phone (646) 346-7927

506 Westport Ave
Norwalk, CT 06851-4424
Phone (203) 706-4170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 15, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 1, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 15, 2023 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Apr 22, 2024 Accepting new patients

Locations

506 Westport Ave
Norwalk, CT 06851
Phone (203) 706-4170

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2146 Bartow Ave
Bronx, NY 10475
Phone (646) 346-7927

2146 Bartow Ave
Spc 280E
Bronx, NY 10475
Phone (347) 768-7675

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: charlotte.smith.1@2983.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1154642197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DECATUR RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015741",
            "telephone_number": "203-206-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 BARTOW AVE SPC 280E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754629",
            "telephone_number": "646-346-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLOTTE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD455186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.