Active NPI
Joseph F Smizzi, PA
- Physician Assistant
- Penfield, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007341-1
- Practice address
- 2212 Penfield Rd
Suite 200
Penfield, NY 14526-1756 - Phone
- (585) 598-8567
- Fax
- (585) 388-1483
- NPI assigned
- Aug 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007341-1 | NY | Primary |
Addresses
Primary practice location
2212 Penfield Rd
Suite 200
Penfield, NY 14526-1756
Mailing address
601 Elmwood Ave
Box 278980
Rochester, NY 14642-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02564914 | Medicaid | NY |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007341-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Internal Medicine at Lakeside | Past | Accepting new patients |
Locations
470 Collins St
Avon, NY 14414
Phone (585) 226-2640
2212 Penfield Rd
Ste 200
Penfield, NY 14526
Phone (585) 598-8565
601 Elmwood Ave
#278980
Rochester, NY 14642
Phone (585) 768-2620
601 Elmwood Ave
#320
Rochester, NY 14642
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- josephsmizzi@nslijmedgr.allscriptsdirect.net
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Family Medicine Physician
- Rochester, NY
- NPI 1184664948
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
-
- Internal Medicine Physician
- Brockport, NY
- NPI 1083939722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1912915620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 278980",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 PENFIELD RD",
"address_2": "SUITE 200",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261756",
"telephone_number": "585-598-8567",
"fax_number": "585-388-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIZZI",
"first_name": "JOSEPH",
"middle_name": "F",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007341-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02564914",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.