Individual provider Active NPI

Susan Marie Smetana, ANP-C

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1669810446
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306724-1 Issued in NY
Practice address
506 6TH St
Brooklyn, NY 11215-3609
Phone
(718) 780-3000
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 521691-1 NY
Adult Health Nurse Practitioner 363LA2200X F306724-1 NY Primary

Addresses

Primary practice location

506 6TH St
Brooklyn, NY 11215-3609

Mailing address

506 6TH St
Brooklyn, NY 11215-3609
Phone (718) 780-3000

Other identifiers 1

IdentifierTypeStateIssuer
03825514MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514002284 NY Practitioner - Nurse Practitioner 0648493924 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
521691-1NYMDRegistered Nurse
F306724-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Turbett MD PC CurrentSince Mar 1, 2022 Accepting new patients
Kings Physician Services, PC CurrentSince Feb 18, 2018 Accepting new patients
Houston Medical Consulting PC CurrentSince Dec 8, 2021 Accepting new patients
HP Medical Care PC CurrentSince Jul 1, 2023 Accepting new patients
Pain Management Medical Services PC CurrentSince Apr 15, 2019 Accepting new patients
Nys Medical Associate PLLC CurrentSince Jan 21, 2022 Accepting new patients
Kings Physician Services, PC CurrentSince Feb 18, 2018 Accepting new patients
South Nassau Orthopedic Surgery and Sports Medicine, P.C. Past Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

185 Montague St
Fl 6
Brooklyn, NY 11201
Phone (718) 243-9900

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

185 Montague St
#6
Brooklyn, NY 11201

11620 Queens Blvd
Forest Hills, NY 11375
Phone (718) 401-1510

15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001

1 Long Beach Rd
Island Park, NY 11558
Phone (516) 432-0300

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

300 Community Dr
Plandome, NY 11030

15715 19th Ave
Whitestone, NY 11357
Phone (718) 559-0580

Interoperability endpoints

  • Direct secure messaging: susan.smetana.p51@direct.medcor.nextgenshare.com

Organizations & group practices 8

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1669810446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETANA",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "521691-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306724-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03825514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.