Active NPI
Chantel Smith
- Specialist
- Westbury, NY
National Provider Identifier
1265121917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 174400000X
- Practice address
- 14 Old Country Road Suite Suite C103N
Westbury, NY 11590 - Phone
- (914) 898-5117
- NPI assigned
- May 8, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 174400000X | NY | Primary |
Addresses
Primary practice location
14 Old Country Road Suite Suite C103N
Westbury, NY 11590
Mailing address
14 Old Country Road Suite C103N C103N
Westbury, NY 11590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174400000X | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1265121917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 OLD COUNTRY ROAD SUITE C103N C103N",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 OLD COUNTRY ROAD SUITE SUITE C103N",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "914-898-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHANTEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "174400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.