Active NPI
Robert Lynn Smeltz, NP.
- Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1790905677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F440019-1
- Practice address
- 760 Broadway-Woodhull Medical & Mental Health Center
Brooklyn, NY 11206 - Phone
- (718) 963-8000
- Fax
- (718) 630-3122
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F440019-1 | NY | Primary |
Addresses
Primary practice location
760 Broadway-Woodhull Medical & Mental Health Center
Brooklyn, NY 11206
Mailing address
760 Broadway - Woodhull Medical & Mental Health Center
Department of Managed Care Room 2B230
Brooklyn, NY 11206
Phone (718) 963-8000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180410000339 | NY | Order and Referring Only - Nurse Practitioner | 0042573883 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F440019-1 | NY | MD | Nurse Practitioner |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- rsmeltz682883@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1790905677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY - WOODHULL MEDICAL & MENTAL HEALTH CENTER",
"address_2": "DEPARTMENT OF MANAGED CARE ROOM 2B230",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-630-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY-WOODHULL MEDICAL & MENTAL HEALTH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-630-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMELTZ",
"first_name": "ROBERT",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "NP.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F440019-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.