Individual provider Active NPI

Cindy McSmith

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1467238824
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311587-01 Issued in NY
Practice address
624 Kings Hwy
Brooklyn, NY 11223-2236
Phone
(718) 336-5025
NPI assigned
Sep 1, 2023
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F311587-01 NY
Adult Health Nurse Practitioner 363LA2200X F311587-01 NY Primary

Addresses

Primary practice location

624 Kings Hwy
Brooklyn, NY 11223-2236

Mailing address

624 Kings Hwy
Brooklyn, NY 11223-2236
Phone (718) 336-5025

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
I20231111000226 NY Practitioner - Nurse Practitioner 0648627752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

624 Kings Hwy
Brooklyn, NY 11223-2236
Phone (212) 252-8893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F311587-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Dec 4, 2023 Accepting new patients

Locations

624 Kings Hwy
Brooklyn, NY 11223
Phone (718) 336-5025

13527 38th Ave
Fl 2
Flushing, NY 11354
Phone (718) 886-5068

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1467238824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232236",
            "telephone_number": "718-336-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232236",
            "telephone_number": "718-336-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSMITH",
        "first_name": "CINDY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-05-07",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F311587-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311587-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.