Stephen Smirlock, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N0022322 Issued in NY

Practice address

1000 High St
Port Chester, NY 10573-4402

Phone

(917) 747-1749

Fax

(718) 724-1889

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel L Gellen, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1902985435
  Medicare reassignment
• Danny E Mergi, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Cedarhurst, NY
  • NPI 1821345166
  Medicare reassignment

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.

• Dr. Stephen Smirlock

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1881866838
  NPD (past) Authorized official
• Arcadian Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1285432989
  NPD (past)
• Genesis Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1295043099
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1952344673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136A SUNFLOWER DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012461",
            "telephone_number": "917-747-1749",
            "fax_number": "718-724-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGH ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734402",
            "telephone_number": "917-747-1749",
            "fax_number": "718-724-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIRLOCK",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00166100",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N0022322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8828369",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00413369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie C Sicari, MD
• Linda Ruth Silberstein, M.D.
• Walter G Simmons, LCSW
• Jasjit Kaur Singh, R.PH
• Stuart L Sklar, OD
• Michael Thomas Solano, MS, CCC-SLP
• Sandy Soler, LMSW
• Shayna Angelina Sommer, CASAC
• Speech Language Pathology and Occupational Therapy of Westchester, PLL
• Brett Spielvogel, DDS

• Foot Surgery Podiatrist in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.

Verify at the official NPI Registry.