Individual provider Active NPI

Grace Rita Smith, AUD

  • Audiologist
  • New York, NY
National Provider Identifier
1275137762
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002954-01 Issued in NY
Practice address
110 East 59TH Street
Suite 10a
New York, NY 10022-1359
Phone
(212) 434-4500
NPI assigned
Nov 24, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002954-01 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000062843 NY

Addresses

Primary practice location

110 East 59TH Street
Suite 10a
New York, NY 10022-1359

Mailing address

110 East 59TH Street
Suite 10a
New York, NY 10022
Phone (212) 434-4500

Other practice location 1

7 7th Ave Fl 2
New York, NY 10011-6628
Phone (212) 434-4500

Other practice location 2

186 E 76th St Fl 2
New York, NY 10021-2822
Phone (212) 434-4500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002954NYMDAthletic Trainer
002954-01NYMDAudiologist
14000062843NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1275137762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EAST 59TH STREET",
            "address_2": "SUITE 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-434-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAST 59TH STREET",
            "address_2": "SUITE 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221359",
            "telephone_number": "212-434-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 7th Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100116628",
            "country_code": "US",
            "telephone_number": "212-434-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 E 76th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212822",
            "country_code": "US",
            "telephone_number": "212-434-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GRACE",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002954-01",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000062843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.