Active NPI
Alyosha Smolarski, MD
- Internal Medicine Physician
- Fresh Meadows, NY
National Provider Identifier
1861064784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P110442
- Practice address
- 61-36 170TH St Apt M4
Fresh Meadows, NY 11365-1957 - Phone
- (646) 372-0870
- NPI assigned
- Jul 12, 2021
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P110442 | NY | Primary |
Addresses
Primary practice location
61-36 170TH St Apt M4
Fresh Meadows, NY 11365-1957
Mailing address
239 Banker St Apt 4a
Brooklyn, NY 11222-2686
Phone (646) 600-4326
Other practice location 1
6970 Grand Central Pkwy
Forest Hills, NY 11375-3949
Phone (718) 263-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P110442 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1861064784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 BANKER ST APT 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112222686",
"telephone_number": "646-600-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61-36 170TH ST APT M4",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651957",
"telephone_number": "646-372-0870"
}
],
"practiceLocations": [
{
"address_1": "6970 Grand Central Pkwy",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113753949",
"country_code": "US",
"telephone_number": "718-263-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMOLARSKI",
"first_name": "ALYOSHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "P110442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.