Individual provider Active NPI

Cormac Francis Smith, M.D.

  • Emergency Medicine Physician
  • Westbury, NY
National Provider Identifier
1184010829
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
294533 Issued in NY
Practice address
55 Ridge Dr
Westbury, NY 11590-2720
Phone
(631) 960-1502
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 294533 NY Primary

Addresses

Primary practice location

55 Ridge Dr
Westbury, NY 11590-2720

Mailing address

55 Ridge Dr
Westbury, NY 11590-2720

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190416002062 NY Practitioner - Emergency Medicine 4183965338 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294533NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Medical CurrentSince Mar 11, 2019 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Feb 22, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 14, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 14, 2020 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Sep 16, 2024 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St. Joseph Hospital CurrentSince Mar 11, 2019 Accepting new patients
Samaritan Emergency Medical Services, PC Emergency Medicine CurrentSince Mar 11, 2019 Accepting new patients

Locations

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

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

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

2280 N Ocean Ave
Farmingville, NY 11738
Phone (631) 282-8450

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

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

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1184010829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RIDGE DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 RIDGE DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902720",
            "telephone_number": "631-960-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CORMAC",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "294533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.