Active NPI
George P Smith, M.D.
- Plastic and Reconstructive Surgery Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 204803
- Practice address
- 2066 Richmond Avenue
Staten Island, NY 10314-3916 - Phone
- (718) 608-1111
- Fax
- (718) 698-0021
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 204803 | NY | Primary |
Addresses
Primary practice location
2066 Richmond Avenue
Staten Island, NY 10314-3916
Mailing address
2066 Richmond Ave
Staten Island, NY 10314-3916
Phone (718) 608-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
272 274 High St
Perth Amboy, NJ 08861-4406
Phone (732) 826-0111
476 7TH St
Brooklyn, NY 11215-6932
Phone (718) 608-1111
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| GPS of New Jersey MD PC | Current | Accepting new patients | |
| George P. Smith M.D.,P.C. | Current | Accepting new patients | |
| Advance Sleep Testing Inc | Past | Accepting new patients | |
| University Group Medical Associates, P.C | Past | Accepting new patients |
Locations
272 High St
Perth Amboy, NJ 08861
Phone (732) 719-8678
2066 Richmond Ave
Staten Island, NY 10314
Phone (718) 608-1111
405 Arden Ave
Staten Island, NY 10312
Phone (718) 608-1111
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- georgesmith@mai.allscriptsdirect.net
- gps9005@direct.nyp.org
Organizations & group practices 6
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.
-
- Specialist
- Staten Island, NY
- NPI 1487718656
-
- Specialist
- Perth Amboy, NJ
- NPI 1245529445
-
- Ambulatory Surgical Clinic/Center
- Staten Island, NY
- NPI 1134477508
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Sleep Disorder Diagnostic Clinic/Center
- Staten Island, NY
- NPI 1144432220
-
dba Coney Island Medical Group
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Ocean Medical Center
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
-
- General Acute Care Hospital
- Rahway, NJ
- NPI 1861486870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1205801982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2066 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143916",
"telephone_number": "718-608-1111",
"fax_number": "718-698-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2066 RICHMOND AVENUE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143916",
"telephone_number": "718-608-1111",
"fax_number": "718-698-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GEORGE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "204803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.