Individual provider Active NPI

Matthew Benjamin Smith, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1881796191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
151717 Issued in NY
Practice address
333 E 34TH St
1N
New York, NY 10016-4977
Phone
(212) 213-8104
Fax
(212) 213-7805
NPI assigned
Sep 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 151717 NY Primary

Addresses

Primary practice location

333 E 34TH St
1N
New York, NY 10016-4977

Mailing address

333 E 34TH St
1N
New York, NY 10016-4977
Phone (212) 213-8104

Other identifiers 1

IdentifierTypeStateIssuer
01138334MedicaidNY

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
I20130610000108 NY Practitioner - Psychiatry 0143469833 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

161 Madison Ave
RM 10NW
New York, NY 10016-5441
Phone (212) 213-8104

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881796191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 34TH ST",
            "address_2": "1N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164977",
            "telephone_number": "212-213-8104",
            "fax_number": "212-213-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 34TH ST",
            "address_2": "1N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164977",
            "telephone_number": "212-213-8104",
            "fax_number": "212-213-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "151717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01138334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.