Individual provider Active NPI

Gerard J Smith, D.C.

  • Chiropractor
  • Smithtown, NY
National Provider Identifier
1609845114
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
XOO6740 Issued in NY
Practice address
20 Gilbert Ave
Suite 201
Smithtown, NY 11787-5326
Phone
(631) 724-1991
Fax
(631) 724-1995
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X XOO6740 NY Primary
Chiropractor 111N00000X X006740-1 NY

Addresses

Primary practice location

20 Gilbert Ave
Suite 201
Smithtown, NY 11787-5326

Mailing address

20 Gilbert Ave
Suite 201
Smithtown, NY 11787-5326
Phone (631) 724-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000240 NY Practitioner - Chiropractic 0749478642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Chiropractic and Physical Therapy PLLCGroup PAC ID 3779735691, 4 clinicians

Practice addresses (Care Compare)

20 Gilbert Ave
Suite 201
Smithtown, NY 11787-5312
Phone (631) 724-1991

786 Montauk Hwy
Uppr Level
West Islip, NY 11795-4926
Phone (631) 661-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006740-1NYMDChiropractor
XOO6740NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Chiropractic & Physical Therapy, PLLC Chiropractor CurrentSince Oct 1, 2012 Accepting new patients
West Islip Chiropractic, Physical Therapy, Acupuncture, and Adult Health NP, PLLC Chiropractor CurrentSince Apr 7, 2025 Accepting new patients

Locations

20 Gilbert Ave
Ste 201
Smithtown, NY 11787
Phone (631) 724-1991

786 Montauk Hwy
West Islip, NY 11795
Phone (631) 376-6075

786 Montauk Hwy
Uppr
West Islip, NY 11795
Phone (631) 661-1400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1609845114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GILBERT AVE",
            "address_2": "SUITE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875326",
            "telephone_number": "631-724-1991",
            "fax_number": "631-724-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GILBERT AVE",
            "address_2": "SUITE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875326",
            "telephone_number": "631-724-1991",
            "fax_number": "631-724-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GERARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XOO6740",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006740-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.