Individual provider Active NPI

Craig R Smolow, M.D.

  • Gastroenterology Physician
  • New Hyde Park, NY
National Provider Identifier
1679646624
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
139589 Issued in NY
Practice address
2001 Marcus Ave
Stn204
New Hyde Park, NY 11042-1011
Phone
(516) 437-7202
Fax
(516) 437-7602
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 139589 NY
Gastroenterology Physician 207RG0100X 139589 NY Primary

Addresses

Primary practice location

2001 Marcus Ave
Stn204
New Hyde Park, NY 11042-1011

Mailing address

2001 Marcus Ave
Stn204
New Hyde Park, NY 11042-1011
Phone (516) 437-7202

Other identifiers 1

IdentifierTypeStateIssuer
00838188MedicaidNY

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
I20040609000819 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0749263929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
North Shore Lij Medical Group at North Nassau, PCGroup PAC ID 7618154550, 36 clinicians

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2001 Marcus Ave
New Hyde Park, NY 11042-2061
Phone (855) 364-6257

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

70 Glen St
Suite 200
Glen Cove, NY 11542-2854
Phone (516) 484-7893

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jan 2, 2013 Accepting new patients
North Shore Lij Medical Group at North Nassau, PC CurrentSince Dec 17, 2024 Accepting new patients
Joseph Mandelbaum, M.D. and Craig R. Smolow, M.D., P.C. Internal Medicine Current Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Jan 2, 2013 Accepting new patients

Locations

70 Glen St
Ste 200
Glen Cove, NY 11542
Phone (516) 484-7893

2001 Marcus Ave
Ste N18
New Hyde Park, NY 11042
Phone (516) 775-7770

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

2001 Marcus Ave
Ste N204
New Hyde Park, NY 11042
Phone (516) 437-7202

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: craigsmolow@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

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 7

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679646624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "STN204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-437-7202",
            "fax_number": "516-437-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "STN204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-437-7202",
            "fax_number": "516-437-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLOW",
        "first_name": "CRAIG",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "139589",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "139589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00838188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.