JOHANNA M SMITH (NPI# 1326388695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326388695 |
| Entity Type | Individual |
| Full Name | JOHANNA M SMITH |
| Credential | NP |
| Practice Address |
410 Hallock Ave Port Jefferson Station NY 11776-1232 |
| Mailing Address |
2800 Marcus Ave New Hyde Park NY 11042-1113 |
| Practice Telephone | 6316421100 |
| Practice Fax Number | 6316421190 |
| Mailing Telephone | 5166226040 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306296 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689118432 | Johanna Suzanne Smith | Registered Nurse | 328 N Illinois Ave, Apt A, Villa Park, IL 60181-2108 | 2016-12-13 |
| 1306012034 | Johanna J Smith | Counselor | 3 Carriage Dr, Downingtown, PA 19335-1539 | 2008-05-02 |
| 1508491937 | Johanna Naomi Smith | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-03-05 |
| 1093231995 | Johanna Smith | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2017-08-22 |
| 1841695947 | Johanna Smith | Counselor | 200 12th Street Ext, Princeton, WV 24740-2329 | 2014-10-31 |
| 1407159577 | Johanna Kay Smith | Massage Therapist | 1011 N State Road 7, Suite D, Royal Palm Beach, FL 33411-5184 | 2010-12-13 |
| Street Address |
410 HALLOCK AVE |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306816129 | Robert Mormando | Internal Medicine | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2006-01-24 |
| 1912542044 | Elizabeth Perry | Nurse Practitioner | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2019-11-13 |
| 1306325477 | Andrea Gomez Pereira | Physician Assistant | 410 Hallock Ave, Port Jefferson Station, NY 11776 | 2018-08-09 |
| 1912369935 | Deborah Boktor | Internal Medicine | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2016-03-28 |
| 1215952072 | Port Jeff Medical Care, PC | Internal Medicine | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2006-07-13 |
| 1316915523 | Michael Philip Rodriguez | Internal Medicine | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999692 | Lisa Ann Kuveikis | Nurse Practitioner | 3 Cayla Ln, Port Jefferson Station, NY 11776-4256 | 2019-08-29 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1568784775 | Deborah Ann Lamendola | Nurse Practitioner | 5225 Nesconset Hwy Ste 53, Bldg. 12, Port Jefferson Station, NY 11776-2061 | 2010-02-16 |
| 1568617645 | Luis J Ehrman Sr. | Nurse Practitioner | 22 Mississippi Ave, Port Jefferson Station, NY 11776-3012 | 2008-11-17 |
| 1134344948 | Julie Ann Pablo | Nurse Practitioner | 126 Greenhaven Dr, Port Jefferson Station, NY 11776-2845 | 2007-04-16 |
| 1164428561 | Julie A Plantamura | Nurse Practitioner | 1500 Route 112 Ste 101, Port Jefferson Station, NY 11776-8054 | 2005-06-22 |
| 1538777594 | Brittany Stern | Nurse Practitioner | 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055 | 2020-07-16 |
| 1215545314 | Michel Schwartz | Nurse Practitioner | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2020-07-15 |
| 1902455231 | Toni Lee Johnston | Nurse Practitioner | 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8054 | 2019-09-09 |
| 1023537255 | Uma Narayana | Nurse Practitioner | 931 Hallock Ave, Port Jefferson Station, NY 11776-1228 | 2017-09-19 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on JOHANNA M SMITH.
| 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.