Aisha Smith-Ellis

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F307359-1 Issued in NY

Practice address

175 Memorial Hwy
Ste 2-1
New Rochelle, NY 10801-5635

Phone

(914) 235-7530

NPI assigned

Jul 31, 2015

Last updated

Jul 31, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bukhman MD PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1013025782
  Medicare reassignment NPD
• Comprehensive Primary Care Services PC

  • Internal Medicine Physician
  • New Rochelle, NY
  • NPI 1184837791
  NPD (past)
• Comprehensive Primary Care Services PC

  • Specialist
  • New Rochelle, NY
  • NPI 1972973154
  NPD (past)
• Org Medical PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1053583682
  NPD (past)
• Urban Family Practice PC

  dba Grace at Home

  • In Home Supportive Care Agency
  • Baltimore, MD
  • NPI 1164594099
  NPD (past)

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1649656679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 RIVERSIDE DR",
            "address_2": "6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317201",
            "telephone_number": "914-325-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "STE 2-1",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-235-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-ELLIS",
        "first_name": "AISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis L Sloate, PHD
• Cheryl Small Jackson
• Michelle Small, M.D.
• Tiffany Small
• Smart Integrated Healthcare New York Inc (New Beginnings New Rochelle)
• Alia Smith, RN
• Ashley Smith, LMSW
• Destiny Smith
• Geniel Smith, LMHC
• Hilary Smith, MD

• Adult Health Nurse Practitioner in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.