Individual provider Active NPI

Benjamin Rogin Smit, PT, DPT, CSCS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1477075307
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041695 Issued in NY
Practice address
521 5TH Ave
New York, NY 10175
Phone
(212) 692-9558
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP018443T VA
Physical Therapist 225100000X 041695 NY Primary

Addresses

Primary practice location

521 5TH Ave
New York, NY 10175

Mailing address

521 5TH Ave
New York, NY 10175-0003
Phone (212) 692-9558

Other practice location 1

1301 Cedar Rd
Chesapeake, VA 23322-7105
Phone (757) 512-7626

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
041695NYMDPhysical Therapist
CP018443TVAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1477075307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101750003",
            "telephone_number": "212-692-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10175",
            "telephone_number": "212-692-9558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Cedar Rd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227105",
            "country_code": "US",
            "telephone_number": "757-512-7626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIT",
        "first_name": "BENJAMIN",
        "middle_name": "ROGIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP018443T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041695",
            "primary": true
        }
    ],
    "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 Mar 10, 2023; 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.