Jennifer L Smith MD PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

244012-1 Issued in NY

Legal business name

JENNIFER L SMITH MD PLLC

Practice address

1 Kirkland Ave Apt 302
Clinton, NY 13323-1426

Phone

(315) 381-3402

Fax

(315) 732-2315

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Jennifer L Smith, MD

Title

Doctor and Owner

Phone

(315) 381-3402

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1184955189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KIRKLAND AVE APT 302",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231426",
            "telephone_number": "315-381-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIRKLAND AVE APT 302",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231426",
            "telephone_number": "315-381-3402",
            "fax_number": "315-732-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L SMITH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR AND OWNER",
        "authorized_official_telephone_number": "315-381-3402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "244012-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Isaacs, RDN
• J Michel Associate
• Angela Marie Jaros, PHARMD
• Jean M Baker
• Jennie Mazza Jones LCSW PLLC
• Francesca Wanda Jensen, OTR/L
• Johnf Menard DDS PC
• Karli Johnson
• Emilee Jones
• Emma Jones

• Neurology Physician in Clinton, NY
• Providers in Clinton, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.