Individual provider Active NPI

Tiffany Onica Smith

  • Adult Health Nurse Practitioner
  • West New York, NJ
National Provider Identifier
1710610266
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01340800 Issued in NJ
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

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907003967 NJ Practitioner - Nurse Practitioner 1850775057 Reassigns benefits to 6 organizations

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
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

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

LicenseStateTypeSpecialty
26NJ01340800NJMDAdult Health Nurse Practitioner
F310563-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Smith LLC Current Accepting new patients
Internal Medicine of Morris County LLC CurrentSince Mar 1, 2023 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jul 5, 2023 Accepting new patients
Healthdrive Medical Services Southeast LLC Adult Health CurrentSince Jan 5, 2026 Accepting new patients
Advanced Garden State Cardiology LLC CurrentSince Aug 1, 2022 Accepting new patients
HDC Care Solutions, LLC Adult Health CurrentSince Jan 5, 2026 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAICD
  • Direct secure messaging: tiffany.smith.p1@direct.ezramedical.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.