Active NPI
Harry Smith Jeanty
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 60-P129312-01
- Practice address
- 3518 Bainbridge Ave
Bronx, NY 10467-1402 - Phone
- (718) 655-1991
- NPI assigned
- Jul 1, 2024
- Last updated
- Jul 1, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 60-P129312-01 | NY | Primary |
Addresses
Primary practice location
3518 Bainbridge Ave
Bronx, NY 10467-1402
Mailing address
600 E Crescent Ave
Upper Saddle River, NJ 07458-1846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11909 26TH Ave
Flushing, NY 11354-1022
Phone (845) 738-8770
2107 Ditmas Ave
Brooklyn, NY 11226-6903
Phone (718) 462-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ilm Medical Care PLLC | Current | Accepting new patients | |
| Clear Choice Medical PC | Internal Medicine | Past | Accepting new patients |
Locations
600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458
2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700
3518 Bainbridge Ave
Bronx, NY 10467
Phone (212) 410-9047
11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600
7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800
Organizations & group practices 3
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.
-
- Specialist
- Brooklyn, NY
- NPI 1023442035
-
- Internal Medicine Physician
- Upper Saddle River, NJ
- NPI 1710677091
NY
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1285155499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1609611516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E CRESCENT AVE",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074581846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104671402",
"telephone_number": "718-655-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANTY",
"first_name": "HARRY SMITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "60-P129312-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.