DR. PETER SMITH (NPI# 1851361414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851361414 |
Entity Type | Individual |
Full Name | DR. PETER SMITH |
Credential | D.P.M. |
Practice Address |
207 Hallock Rd Suite 4 Stony Brook NY 11790-3033 |
Practice Telephone | 6316892300 |
Practice Fax Number | 6316892078 |
Mailing Telephone | 6316892300 |
Mailing Fax Number | 6316892078 |
Enumeration Date | 2006-01-25 |
Last Update Date | 2008-02-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | N004433 | NY | Podiatric Medicine & Surgery Service Providers |
N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
PD1905 | MA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | VYTRA | 10259 | 01 |
NY | OXFORD | P1911509 | 01 |
NY | WORKERS COMPENSATION | PO 44330 | 01 |
NY | 01895183 | 05 | |
NY | CIGNA | 6364966004 | 01 |
NY | SUBMITTER ID | NYB002451 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649878232 | Peter Thomas Curry Smith | In Home Supportive Care | 18679 Baker Rd, Mount Vernon, OH 43050-9586 | 2020-10-15 |
1386116663 | Peter Smith | Physical Therapist | 1450 E Fairview Ave Ste 201, Meridian, ID 83642-1819 | 2018-12-26 |
1407360258 | Peter Smith | Specialist/Technologist | 415 Center St, Bridgewater, MA 02324-1309 | 2017-11-30 |
1851784839 | Peter Allen Smith | Counselor | 2240 N Hwy 89, Suite C, Harrisville, UT 84404-2675 | 2015-03-14 |
1356782072 | Peter Michael Smith | Physician Assistant | 282 Cabrini Blvd, Apt. 2g, New York, NY 10040-3618 | 2013-07-10 |
1861837700 | Peter Smith | Physical Therapist | 1121 Fairfield Ave, Eugene, OR 97402-2026 | 2013-05-06 |
1508136706 | Peter J. Smith | Marriage & Family Therapist | 332 Redwood Ave, Willits, CA 95490-3333 | 2012-01-04 |
1568695344 | Peter John Smith I | Physical Therapist | 167 Fairharbor Dr, Patchogue, NY 11772-3335 | 2009-08-27 |
1710152962 | Peter J Smith | Physician Assistant | 5715 Kittery Dr, Siute B, Colorado Springs, CO 80911-3552 | 2008-04-29 |
1285849778 | Peter Jordan Smith | Acupuncturist | 826 Shattuck Ave, Berkeley, CA 94707-2020 | 2007-05-10 |
Street Address |
207 HALLOCK RD SUITE 4 |
City | STONY BROOK |
State | NY |
Zip Code | 11790-3033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720646805 | Samantha Lynn Renieris | Speech-Language Pathologist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2019-06-03 |
1518451459 | Jessica Liberty | Speech-Language Pathologist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2018-06-14 |
1922501964 | Melissa M Schachter | Speech-Language Pathologist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2018-03-15 |
1891217774 | Marisa Massaro | Family Medicine | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2017-07-12 |
1497289037 | Stony Brook Oral and Facial Surgery PC | Dentist | 207 Hallock Rd, Suite 2, Stony Brook, NY 11790-3033 | 2017-04-19 |
1306394978 | Doughty and Ryzova Medical Group PC | Pediatrics | 207 Hallock Rd, Suite 106, Stony Brook, NY 11790-3033 | 2016-09-13 |
1376099226 | Mireille Toughey | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2016-08-31 |
1518360197 | Marianne Kaminski | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2014-09-26 |
1962803163 | Dianne Munnich | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2014-09-08 |
1407285869 | Doreen Cloughley | Dentist | 207 Hallock Rd, Suite 5, Stony Brook, NY 11790-3033 | 2013-11-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
Find all providers in zip 11790 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356325708 | Jeffrey A Fishman | Podiatrist | 38 Stratton Ln, Stony Brook, NY 11790-3222 | 2005-11-30 |
1710294632 | Mitchell L. Steinberg D.p.m., PC | Podiatrist | 1212 Route 25a, Stony Brook, NY 11790-1919 | 2010-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
Find all providers with the same taxonomy |
City | STONY BROOK |
Zip Code | 11790 |
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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.