DR. SOPHIA STREETE SMALLS


Address: 11513a Merrick Blvd, Jamaica, NY 11434-1851
Phone: 7185588998

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 218731 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02180096 05

Office Location

Street Address 11513A MERRICK BLVD
City JAMAICA
State NY
Zip Code 11434-1851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588987234 Sss Family Medicine PC Clinic/Center 11513a Merrick Blvd, Jamaica, NY 11434-1851 2010-03-10

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City JAMAICA
Zip Code 11434

Improve Information

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Dataset Information

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.

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