Marianne Catherine Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

179204 Issued in NY

Practice address

360 Seaview Ave
Room301
Staten Island, NY 10305-2216

Phone

(718) 226-6216

Fax

(718) 226-1528

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477678688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KAREN TER",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901807",
            "telephone_number": "908-928-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SEAVIEW AVE",
            "address_2": "ROOM301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052216",
            "telephone_number": "718-226-6216",
            "fax_number": "718-226-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARIANNE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George P Smith, M.D.
• Jenniene Smith, LMSW
• Kaitlyn Smith
• Lazinka E. Smith, PA
• Logan Peter Smith, MD
• Natalie Lauren Smith, MA CCC SLP- TSHH
• Pamela Smith
• Qiana Smith
• Rachel E Smith, FNP-C
• Riki Smith, CASAC-T, FAMILY DEV.

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.