Individual provider Active NPI

Earl Laird Smith, MD

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1902962095
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
237108 Issued in NY
Practice address
1250 Broadway
Vnsny Hospice Care, 4TH Floor
New York, NY 10001-3701
Phone
(212) 609-7382
Fax
(212) 290-0974
NPI assigned
Dec 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 237108 NY
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 237108 NY Primary

Addresses

Primary practice location

1250 Broadway
Vnsny Hospice Care, 4TH Floor
New York, NY 10001-3701

Mailing address

1250 Broadway
Vnsny Hospice Care, 4TH Floor
New York, NY 10001-3701
Phone (212) 609-7382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000442 NY Practitioner - Hospice/Palliative CarePractitioner - Physical Medicine and Rehabilitation 8123116621 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237108NYMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Physical Medicine & Rehabilitation CurrentSince Jan 1, 2013 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2016 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2013 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2016 Accepting new patients
Visiting Nurse Service of New York Hospice Care Past Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

5141 Broadway
New York, NY 10034
Phone (212) 932-4000

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1902962095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BROADWAY",
            "address_2": "VNSNY HOSPICE CARE, 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013701",
            "telephone_number": "212-609-7382",
            "fax_number": "212-290-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BROADWAY",
            "address_2": "VNSNY HOSPICE CARE, 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013701",
            "telephone_number": "212-609-7382",
            "fax_number": "212-290-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EARL",
        "middle_name": "LAIRD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-31",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "237108",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "237108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.