Individual provider Active NPI

George P Smith, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Staten Island, NY
National Provider Identifier
1205801982
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
204803 Issued in NY
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 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
I20041112000080 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Hand Surgery 9234193053 Reassigns benefits to 1 organization
I20100910000360 NJ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - Maxillofacial Surgery 9234193053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery, Maxillofacial 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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
GPS of New Jersey MD PC CurrentSince Jun 1, 2010 Accepting new patients
George P. Smith M.D.,P.C. CurrentSince Jul 1, 2001 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

  • Direct secure messaging: georgesmith@mai.allscriptsdirect.net
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.