Individual provider Active NPI

Alyson W Smith, MD

  • Allergy & Immunology Physician
  • Bronx, NY
National Provider Identifier
1639107980
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
237223 Issued in NY
Practice address
2385 Arthur Ave
Suite 206
Bronx, NY 10458-8184
Phone
(718) 220-9755
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 237223 NY
Allergy & Immunology Physician 207K00000X 237223 NY Primary

Addresses

Primary practice location

2385 Arthur Ave
Suite 206
Bronx, NY 10458-8184

Mailing address

4422 3Rd Ave
St Barnabas Hospital-Dept Pediatrics
Bronx, NY 10457-2545
Phone (718) 960-9331

Other identifiers 1

IdentifierTypeStateIssuer
03248708MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161116001489 NY Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2860786043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
New York Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Community Health Center IncGroup PAC ID 4486545266, shared by 8 NPIs, 49 clinicians
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

260 E 188TH St
Bronx, NY 10458-5302
Phone (718) 618-8236

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

Hospital & facility affiliations

  • St Barnabas Hospital Hospital, Bronx, NY, CCN 330399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237223NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC Pediatrics Current Accepting new patients
SBH Physicians, PC Allergy & Immunology CurrentSince Oct 16, 2017 Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients
Union Community Health Center, Inc. Past Accepting new patients
Arthur Avenue Pediatrics PC Pediatrics Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

2016 Bronxdale Ave
Ste 203
Bronx, NY 10462
Phone (718) 597-0700

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: asmith18299@sbhny.direct-ci.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1639107980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "address_2": "ST BARNABAS HOSPITAL-DEPT PEDIATRICS",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 ARTHUR AVE",
            "address_2": "SUITE 206",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588184",
            "telephone_number": "718-220-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSON",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "237223",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "237223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03248708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.