Active NPI
Joseph Malik Smith, M.D.
- Emergency Medicine Physician
- Suffern, NY
National Provider Identifier
1497953517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 245226
- Practice address
- Good Samaritan Hospital - Emergency Department
255 Lafayette Avenue
Suffern, NY 10901-4869 - Phone
- (845) 368-5030
- Fax
- (845) 368-5931
- NPI assigned
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 245226 | NY | Primary |
Addresses
Primary practice location
Good Samaritan Hospital - Emergency Department
255 Lafayette Avenue
Suffern, NY 10901-4869
Mailing address
230-B Mary Lou Avenue
Yonkers, NY 10703-1904
Phone (914) 457-2825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245226 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael S Lippe MD, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Personal Emergency Response Attendant
- Suffern, NY
- NPI 1205871704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1497953517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230-B MARY LOU AVENUE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107031904",
"telephone_number": "914-457-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GOOD SAMARITAN HOSPITAL - EMERGENCY DEPARTMENT",
"address_2": "255 LAFAYETTE AVENUE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014869",
"telephone_number": "845-368-5030",
"fax_number": "845-368-5931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOSEPH",
"middle_name": "MALIK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "245226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245226",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.