Active NPI
Earl Laird Smith, MD
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 237108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071116000442 | NY | Practitioner - Hospice/Palliative Care | 8123116621 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237108 | NY | MD | Skilled Nursing Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | 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
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
NY
-
- Internal Medicine Physician
- New York, NY
- NPI 1437176047
NY
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1184977324
Physical Medicine & Rehabilitation
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Community Based Hospice Care Agency
- New York, NY
- NPI 1215928510
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.