Active NPI
Tiffany Onica Smith
- Adult Health Nurse Practitioner
- West New York, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ01340800
- Practice address
- 433 60TH St
West New York, NJ 07093-2211 - Phone
- (201) 770-9995
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F310563-01 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ01340800 | NJ | Primary |
Addresses
Primary practice location
433 60TH St
West New York, NJ 07093-2211
Mailing address
1009 Nora Dr FL 1
Linden, NJ 07036-1708
Phone (347) 589-2615
Other practice location 1
260 Christopher Ln
Staten Island, NY 10314-1607
Phone (917) 613-4316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01340800 | NJ | MD | Adult Health Nurse Practitioner |
| F310563-01 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany Smith LLC | Current | Accepting new patients | |
| Internal Medicine of Morris County LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Healthdrive Medical Services Southeast LLC | Adult Health | Current | Accepting new patients |
| Advanced Garden State Cardiology LLC | Current | Accepting new patients | |
| HDC Care Solutions, LLC | Adult Health | Current | Accepting new patients |
| Urban Family Practice PC | Past | Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
140 Park Ave
East Orange, NJ 07017
Phone (888) 444-5996
550 Newark Ave
Ste 307
Jersey City, NJ 07306
Phone (201) 418-9111
103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
433 60th St
West New York, NJ 07093
Phone (201) 770-9995
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGAICD
- tiffany.smith.p1@direct.ezramedical.nextgenshare.com
- tiffany.smith@cinq-nyipa.medentdirect.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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
NJ
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1639481583
-
- Internal Medicine Physician
- Mine Hill, NJ
- NPI 1568570489
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
Adult Health, NJ
-
- Gerontology Registered Nurse
- Linden, NJ
- NPI 1740999713
-
- In Home Supportive Care Agency
- Baltimore, MD
- NPI 1164594099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1710610266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 NORA DR FL 1",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070361708",
"telephone_number": "347-589-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 60TH ST",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070932211",
"telephone_number": "201-770-9995"
}
],
"practiceLocations": [
{
"address_1": "260 Christopher Ln",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103141607",
"country_code": "US",
"telephone_number": "917-613-4316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TIFFANY",
"middle_name": "ONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F310563-01",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ01340800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.
- 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.