Individual provider Active NPI

Noel Lanier Smith, M.D.

  • Surgery Physician
  • New York, NY
National Provider Identifier
1821190604
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
137664 Issued in NY
Practice address
325 Broadway RM 204
New York, NY 10007-3661
Phone
(212) 385-3730
Fax
(212) 732-1570
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 137664 NY Primary

Addresses

Primary practice location

325 Broadway RM 204
New York, NY 10007-3661

Mailing address

325 Broadway RM 204
New York, NY 10007-3661
Phone (212) 385-3730

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
I20130613000592 NY Practitioner - General PracticePractitioner - General SurgeryPractitioner - Addiction Medicine 0446499982 Practice locations: New York, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foley Plaza Medical, PC Current Accepting new patients
Foley Plaza Medical, PC Current Accepting new patients

Locations

325 Broadway
Ste 204
New York, NY 10007
Phone (212) 385-3730

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1821190604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BROADWAY RM 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073661",
            "telephone_number": "212-385-3730",
            "fax_number": "212-732-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BROADWAY RM 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073661",
            "telephone_number": "212-385-3730",
            "fax_number": "212-732-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NOEL",
        "middle_name": "LANIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "137664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.