Individual provider Active NPI

Alexandra Smotritskiy, TEACHER

  • Specialist
  • Far Rockaway, NY
National Provider Identifier
1497181788
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3542784 Issued in NY
Practice address
406 Beach 144TH St
Far Rockaway, NY 11694-1119
Phone
(718) 928-8524
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3542784 NY Primary

Addresses

Primary practice location

406 Beach 144TH St
Far Rockaway, NY 11694-1119

Mailing address

406 Beach 144TH St
Far Rockaway, NY 11694-1119
Phone (718) 928-8524

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

LicenseStateTypeSpecialty
3542784NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1497181788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BEACH 144TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116941119",
            "telephone_number": "718-928-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BEACH 144TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116941119",
            "telephone_number": "718-928-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTRITSKIY",
        "first_name": "ALEXANDRA",
        "credential": "TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "3542784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.