Individual provider Active NPI

Rachel Elizabeth Moyal-Smith, PA-C

  • Surgical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1568714467
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA066561 Issued in PA
Practice address
5401 Old York Rd Ste 101
Philadelphia, PA 19141-3045
Phone
(215) 456-8543
Fax
(215) 456-3568
NPI assigned
Oct 3, 2012
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA066561 PA Primary
Surgical Physician Assistant 363AS0400X 016011 NY

Addresses

Primary practice location

5401 Old York Rd Ste 101
Philadelphia, PA 19141-3045

Mailing address

PO Box 788735
Philadelphia, PA 19178-8735
Phone (215) 456-7000

Other practice location 1

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3494

Other names 1

  • Rachel Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260313001185 PA Practitioner - Physician Assistant 4082855895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Philadelphia, PA 19178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016011NYMDPsychologist
MA066561PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Sep 1, 2013 Accepting new patients
Albany Medical College CurrentSince Sep 1, 2013 Accepting new patients
Albany Medical College Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 31, 2026 Accepting new patients
Albany Medical College CurrentSince Sep 1, 2013 Accepting new patients
Albany Medical College CurrentSince Mar 1, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Jun 1, 2013 Accepting new patients
Einstein Practice Plan, Inc. CurrentSince Jan 31, 2026 Accepting new patients

Locations

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

5401 Old York Rd
Ste 101
Philadelphia, PA 19141
Phone (215) 456-6178

Interoperability endpoints

  • Direct secure messaging: rsmith@landmarkhealth-direct.org

Organizations & group practices 10

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": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1568714467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788735",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191788735",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413045",
            "telephone_number": "215-456-8543",
            "fax_number": "215-456-3568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 New Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12208",
            "country_code": "US",
            "telephone_number": "518-262-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYAL-SMITH",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA066561",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "016011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.