DR. SOPHIA STREETE SMALLS (NPI# 1033298906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033298906 |
Entity Type | Individual |
Full Name | DR. SOPHIA STREETE SMALLS |
Credential | MD |
Practice Address |
11513a Merrick Blvd Jamaica NY 11434-1851 |
Practice Telephone | 7185588998 |
Practice Fax Number | 7185588999 |
Mailing Telephone | 7185588998 |
Mailing Fax Number | 7185588999 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2011-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 218731 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02180096 | 05 |
Street Address |
11513A MERRICK BLVD |
City | JAMAICA |
State | NY |
Zip Code | 11434-1851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588987234 | Sss Family Medicine PC | Clinic/Center | 11513a Merrick Blvd, Jamaica, NY 11434-1851 | 2010-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
Find all providers in zip 11434 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467061143 | Atm Gouse Mohiuddin | Family Medicine | 8900 170th St, Jamaica, NY 11432-5341 | 2020-07-28 |
1891254272 | Bari Medical Pllc | Family Medicine | 17016 84th Dr, Jamaica, NY 11432-2109 | 2019-03-15 |
1235657925 | Mythily Ramanathan | Family Medicine | 8715 165th St Apt 2d, Jamaica, NY 11432-3513 | 2017-09-02 |
1720513427 | St. Sebastian Medical PC | Family Medicine | 16836 Jamaica Ave, Jamaica, NY 11432-5216 | 2017-05-01 |
1104161827 | Citywide Medical Care, PC | Family Medicine | 15325 Hillside Ave, Jamaica, NY 11432-3331 | 2012-12-06 |
1891926853 | Naznin Khan | Family Medicine | 118-11 Guy R Brewer Blvd, Jamaica, NY 11434-4006 | 2009-08-07 |
1457548745 | Pancare Medical PC | Family Medicine | 15915 Hillside Ave, Jamaica, NY 11432-3935 | 2007-10-01 |
1023174596 | Patricia Wong Hermogenes | Family Medicine | 13701 83rd Ave, 1b, Jamaica, NY 11435-1562 | 2006-12-29 |
1922186782 | Kaniz Fatema Begum | Family Medicine | 137-50 Jamaica Ave, Jamaica, NY 11435-3610 | 2006-11-01 |
1639253883 | Orin S Kaufman | Family Medicine | 137-50 Jamaica Ave., Jamaica, NY 11435-3610 | 2006-10-24 |
Find all providers in JAMAICA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.