Active NPI
Assetou Cisse-Smith, NP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F345723
- Practice address
- 1400 Pelham Pkwy S
Bronx, NY 10461-1197 - Phone
- (718) 918-5800
- NPI assigned
- Mar 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F345723 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Bronx, NY 10461-1197
Mailing address
3244 Fish Ave
Bronx, NY 10469-2906
Phone (718) 781-5740
Other practice location 1
600 E 233rd St
Bronx, NY 10466-2604
Phone (718) 920-9177
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F345723 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Midtown East Medical Services, PC | Single Specialty | Current | Accepting new patients |
| Montefiore Medical Center | Single Specialty | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800
260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236
600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640
15 Fishers Rd
Ste 114
Pittsford, NY 14534
Phone (585) 376-7738
113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020
Interoperability endpoints
- assetou.cisse-smith.1@18107.direct.athenahealth.com
- assetou.cisse-smith.1@29290.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1326673278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 FISH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104692906",
"telephone_number": "718-781-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104611197",
"telephone_number": "718-918-5800"
}
],
"practiceLocations": [
{
"address_1": "600 E 233rd St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104662604",
"country_code": "US",
"telephone_number": "718-920-9177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISSE-SMITH",
"first_name": "ASSETOU",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F345723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.