Phyllis J Smith, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

152208 Issued in NY

Practice address

28 Elm St
Huntington, NY 11743-3402

Phone

(631) 421-4398

Fax

(631) 421-1914

NPI assigned

Apr 23, 2007

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roger Koreen M.D., PCGroup PAC ID 9537161161, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.17 of 100Reported as individual

Quality

88.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Roger Koreen M.D., PC

  • Specialist
  • Huntington, NY
  • NPI 1649343914
  Medicare reassignment Care Compare group NPD
• K. Jacob Cohen-Kashi MD & Lawrence C. Lin MD PLLC

  dba North Shore Center for Plastic Surgery

  • Plastic Surgery Physician
  • Great Neck, NY
  • NPI 1194988089
  NPD (past)
• Long Island Eye Surgical Care, PC

  • Ophthalmology Physician
  • Brentwood, NY
  • NPI 1013006576
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1730307026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ELM ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433402",
            "telephone_number": "631-421-4398",
            "fax_number": "631-421-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ELM ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433402",
            "telephone_number": "631-421-4398",
            "fax_number": "631-421-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHYLLIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "152208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Huntington Dental, PC
• Jordan Smith, MD
• Jordan Smith, LMSW
• Linda J. Smith, LCSW
• Mary-Anne Smith, BS,MA
• Rebecca Smith
• Rochelle Smith
• Sheila E Smith, LMSW
• Vanessa C Smith, LPN
• Smithtown Cardiovascular Risk Intervention Program

• Specialist in Huntington, NY
• Providers in Huntington, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.

Verify at the official NPI Registry.