Individual provider Active NPI

Smitha John, FNP

  • Family Nurse Practitioner
  • Carmel, NY
National Provider Identifier
1275050684
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342093 Issued in NY
Practice address
667 Stoneleigh Ave Ste 117
Carmel, NY 10512-2455
Phone
(845) 279-5187
Fax
(855) 703-7570
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342093 NY Primary

Addresses

Primary practice location

667 Stoneleigh Ave Ste 117
Carmel, NY 10512-2455

Mailing address

111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

Other practice location 1

111 Clock Tower Cmns
Brewster, NY 10509-4055
Phone (845) 279-5187

Other practice location 2

888 Route 6
Mahopac, NY 10541-6201
Phone (845) 628-1492

Other identifiers 1

IdentifierTypeStateIssuer
04876344MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002001931 NY Practitioner - Nurse Practitioner 7517232556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Medical Group, PLLCGroup PAC ID 6901104157, 38 clinicians

Practice addresses (Care Compare)

111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

Hospital & facility affiliations

  • VNS Westchester Chha Home health agency, White Plains, NY, CCN 337146
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342093NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hudson Valley Medical PLLC CurrentSince Dec 29, 2025 Accepting new patients
Northern Medical Group, PLLC CurrentSince Oct 1, 2017 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

667 Stoneleigh Ave
Ste 117
Carmel, NY 10512
Phone (845) 230-5178

664 Stoneleigh Ave
Ste 100
Carmel, NY 10512
Phone (845) 279-5136

888 Route 6
Mahopac, NY 10541
Phone (845) 628-1492

159 Barnegat Rd
Lowr
Poughkeepsie, NY 12601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA
  • Direct secure messaging: smitha.john@nmgmd.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1275050684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 117",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Clock Tower Cmns",
            "address_purpose": "LOCATION",
            "city": "Brewster",
            "state": "NY",
            "postal_code": "105094055",
            "country_code": "US",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Route 6",
            "address_purpose": "LOCATION",
            "city": "Mahopac",
            "state": "NY",
            "postal_code": "105416201",
            "country_code": "US",
            "telephone_number": "845-628-1492",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SMITHA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04876344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.