Individual provider Active NPI

Chloe Smith, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1841872389
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309881 Issued in NY
Practice address
1140 E 108TH St
Brooklyn, NY 11236-3043
Phone
(718) 531-3931
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309881 NY Primary

Addresses

Primary practice location

1140 E 108TH St
Brooklyn, NY 11236-3043

Mailing address

1140 E 108TH St
Brooklyn, NY 11236-3043
Phone (917) 743-3662

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115001583 NY Practitioner - Nurse Practitioner 4587010863 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309881NYMDLicensed Vocational Nurse
F309881NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Care Medical Group, PLLC CurrentSince Oct 16, 2023 Accepting new patients
Omar Osman MD PLLC CurrentSince Dec 10, 2023 Accepting new patients
Daniel S. Berman, M.D., Infectious Diseases P.C. CurrentSince Apr 22, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1235 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 231-4300

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

491 State Route 208
Ste 211
Monroe, NY 10950
Phone (718) 633-7828

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

Organizations & group practices 3

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1841872389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E 108TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363043",
            "telephone_number": "917-743-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E 108TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363043",
            "telephone_number": "718-531-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHLOE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.