Jean B. Smith, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

081921-1 Issued in NY

Practice address

175 East 62ND St.
New York, NY 10065-7626

Phone

(212) 832-8216

Fax

(212) 753-7210

NPI assigned

Jun 4, 2009

Last updated

Jun 4, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1881820819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 EAST 62ND ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657626",
            "telephone_number": "212-832-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 EAST 62ND ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657626",
            "telephone_number": "212-832-8216",
            "fax_number": "212-753-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "081921-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Norry Smith, LCSW-R
• Jake Campbell Smith, MD
• James Dominic Smith, MD
• Jasmine Smith
• Jayleecia Smith
• Jeanette Smith
• Jeffrey Smith, PT, DPT
• Jenna Gainey Smith, DNP
• Jennifer Smith
• Jennifer L Smith, FNP

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.