Michael A Smith, ND,HHA,PCW,PNP

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

85432 Issued in NY

Practice address

420 E 105TH St
09A
New York, NY 10029-5104

Phone

(917) 794-6416

Fax

(917) 794-6416

NPI assigned

Sep 16, 2007

Last updated

Jan 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1427244243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 2353",
            "address_2": "UNIT 1 BOX 1781",
            "city": "APO",
            "state": "AE",
            "postal_code": "101631781",
            "telephone_number": "917-794-6416",
            "fax_number": "917-794-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 105TH ST",
            "address_2": "09A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295104",
            "telephone_number": "917-794-6416",
            "fax_number": "917-794-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Prof.",
        "credential": "ND,HHA,PCW,PNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-16",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0704014",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NY",
            "license": "85432",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "PA",
            "license": "PA023502Y",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Hennebry Smith, MD, PHD
• Melissa Smith, GNP
• Meredith Smith
• Mia A Smith, RN
• Michael Smith
• Michael Louis Smith, MD
• Michael S Smith, MD
• Michael S Smith, MD
• Michele B. Smith, PH.D.
• Michelle Smith, PHARMD.

• Adult Companion in New York, NY
• Providers in New York, NY by specialty
• Adult Companion in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.