STACEYANN SMITH (NPI# 1386024370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386024370 |
| Entity Type | Individual |
| Full Name | STACEYANN SMITH |
| Credential | M.D., MPH |
| Practice Address |
3444 Kossuth Ave Bronx NY 10467-2410 |
| Practice Telephone | 7189205271 |
| Practice Fax Number | 7186525707 |
| Mailing Telephone | 7189205271 |
| Mailing Fax Number | 7186525707 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 294338 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT209229 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 E Erie Ave, Philadelphia, PA 191341011 | 2154275000 |
| Street Address |
3444 KOSSUTH AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639011 | Benjamin Weintraub | Pediatrics | 3444 Kossuth Ave, Montefiore Medical Group/ Family Care Center, Bronx, NY 10467-2410 | 2005-09-19 |
| 1356981112 | Ariella Lipetz | Occupational Therapist | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2020-01-09 |
| 1093358749 | Rebecca Mary Holzhauer | Social Worker | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2019-10-25 |
| 1578127916 | Francis William Bongiovanni | Nurse Practitioner | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2019-04-30 |
| 1649748419 | Gail Saderholm | Social Worker | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2018-11-09 |
| 1811498116 | Alexis Endora Martin | Social Worker | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2018-02-22 |
| 1619415999 | Pamela Icochea Calenzani | Health Educator | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2017-02-07 |
| 1427502988 | Anne E Fuller | Pediatrics | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2016-08-12 |
| 1831557339 | Olga Santiago | Social Worker | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2016-01-29 |
| 1356736862 | Justin Daniel Mathew | Student in an Organized Health Care Education/Training Program | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2015-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1083008932 | Claudia Suarez-makotsi | Pediatrics | 2300 Westchester Ave Ste 302, Bronx, NY 10462 | 2015-03-27 |
| 1588058846 | Aisha Angela Bobb-semple | Pediatrics | 1650 Grand Concourse Fl 3, Bronx, NY 10457-7606 | 2015-03-25 |
| 1972996809 | Rebecca Ariella Berger | Pediatrics | 2100 Bartow Ave Rm 311, Bronx, NY 10475-4614 | 2015-03-17 |
| 1962807446 | Hoda Karbalivand | Pediatrics | 1400 Pelham Pkwy S # 6-b25, Bronx, NY 10461-1197 | 2014-10-27 |
| 1871997924 | Ganguly Associates Md PC | Pediatrics | 140 Benchley Pl Frnt 1, Bronx, NY 10475-3502 | 2014-10-17 |
| 1871994228 | Elmer Arteaga Medical PC | Pediatrics | 3201 Grand Concourse Apt 2m, Bronx, NY 10468-1226 | 2014-09-04 |
| 1154734598 | Nora Barmawi | Pediatrics | 4487 3rd Ave Fl 2, Bronx, NY 10457-1526 | 2014-06-03 |
| 1740539931 | Nataliya Krivitskaya | Pediatrics | 627 Lydig Ave, 1 Fl, Bronx, NY 10462-2283 | 2012-09-03 |
| 1770847600 | Merna Gordon | Pediatrics | 770 Grote Street, Bronx, NY 10460 | 2012-06-26 |
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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.