Active NPI
Todd Smoloff
- Contractor
- Brooklyn, NY
National Provider Identifier
1336498567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 665529121
- Practice address
- 2510 Ocean Pkwy
Apt 5C
Brooklyn, NY 11235-6146 - Phone
- (845) 304-4966
- NPI assigned
- Sep 4, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 665529121 | NY | Primary |
Addresses
Primary practice location
2510 Ocean Pkwy
Apt 5C
Brooklyn, NY 11235-6146
Mailing address
2510 Ocean Pkwy
Apt 5C
Brooklyn, NY 11235-6146
Phone (845) 304-4966
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 |
|---|---|---|---|
| 665529121 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1336498567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 OCEAN PKWY",
"address_2": "APT 5C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356146",
"telephone_number": "845-304-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 OCEAN PKWY",
"address_2": "APT 5C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356146",
"telephone_number": "845-304-4966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOLOFF",
"first_name": "TODD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-04",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "665529121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.