Organization Active NPI

Neal T. Smith & Jeannine L. Dolan, M.D.'S

  • Family Medicine Physician
  • Ontario, NY
National Provider Identifier
1205923232
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEAL T. SMITH & JEANNINE L. DOLAN, M.D.'S
Practice address
5973 Walworth Road
Ontario, NY 14519
Phone
(315) 524-2881
Fax
(315) 524-2231
NPI assigned
Oct 10, 2006
Last updated
Jul 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Dr. Neal T. Smith, M.D.NPI 1588751515
Title
Partner
Phone
(315) 524-2881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5973 Walworth Road
Ontario, NY 14519

Mailing address

P.O. Box 368
Ontario, NY 14519
Phone (315) 524-2881

National Provider Directory

National Provider Directory

Locations

5973 Walworth Rd
Ontario, NY 14519
Phone (315) 524-2881

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1205923232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 368",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "14519",
            "telephone_number": "315-524-2881",
            "fax_number": "315-524-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5973 WALWORTH ROAD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "14519",
            "telephone_number": "315-524-2881",
            "fax_number": "315-524-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL T. SMITH & JEANNINE L. DOLAN, M.D.'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-524-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.