MR. NATHANIEL HUGH SMITH JR. (NPI# 1124498829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124498829 |
| Entity Type | Individual |
| Full Name | MR. NATHANIEL HUGH SMITH JR. |
| Credential | CASAC-T |
| Practice Address |
263-267 Port Richmond Ave Staten Island NY 10302 |
| Mailing Address |
263-267 Port Richmond Aveune Staten Island NY 10302 |
| Practice Telephone | 7189818117 |
| Practice Fax Number | 7189819344 |
| Mailing Telephone | 7189818117 |
| Mailing Fax Number | 7189819344 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
30634 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033512785 | Nathaniel Lewis Smith | Counselor | 7303 Vail Dr, Amarillo, TX 79118-8259 | 2014-10-08 |
| 1538215637 | Nathaniel David Smith | Counselor | 811 S Central Expressway, Suite 525, Richardson, TX 75080 | 2007-01-25 |
| 1992718415 | Nathaniel Smith | Social Worker | 351 Manville Rd Ste 101, Pleasantville, NY 10570-2166 | 2006-08-14 |
| 1649240912 | Nathaniel H Smith | Internal Medicine | 4815 W. Markham St., Slot 52, Little Rock, AR 72205-3867 | 2006-01-26 |
| 1750947602 | Nathaniel Lamar Smith | Case Manager/Care Coordinator | 431 Mackay Dr, San Bernardino, CA 92408-3222 | 2019-05-16 |
| 1790217974 | Nathaniel Smith V | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2017-03-28 |
| 1790142016 | Nathaniel Smith Jr. | Counselor | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2016-01-16 |
| 1508239187 | Nathaniel Smith | Counselor | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2015-11-04 |
| 1831528504 | Nathaniel Brooks Smith | Social Worker | 1081 Dove Run Rd, Suite 202, Lexington, KY 40502-3584 | 2013-11-04 |
| 1497011209 | Nathaniel L Smith | Anesthesiology | 1720 University Blvd, Birmingham, AL 35294-0009 | 2012-04-05 |
| Street Address |
263-267 PORT RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508138355 | Georgener Winfield | Counselor | 263-267 Port Richmond Ave, Staten Island, NY 10302 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
| 1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| 1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| 1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
| Find all providers in zip 10302 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134743776 | Prudence Salvato | Counselor | 109 Kelvin Ave, Staten Island, NY 10306-3743 | 2020-05-29 |
| 1487122511 | James Anthony Badillo | Counselor | 460 Brielle Ave Bldg H, Staten Island, NY 10314-6427 | 2018-11-07 |
| 1154706901 | Bilal Abdullah | Counselor | 1268 Forest Ave, Staten Island, NY 10302-2312 | 2015-07-22 |
| 1144603713 | Edwin Rivera | Counselor | 181 Mosely Ave, Staten Island, NY 10312-4163 | 2015-07-01 |
| 1508252420 | Melissa Forsyth | Counselor | 240 Woolley Ave, Staten Island, NY 10314-2002 | 2015-04-07 |
| 1508138355 | Georgener Winfield | Counselor | 263-267 Port Richmond Ave, Staten Island, NY 10302 | 2012-02-08 |
| 1073885687 | Carol A Casey | Counselor | 263 -267 Port Richmond Ave, Staten Island, NY 10302 | 2012-01-30 |
| 1275805871 | Barbara Carioti | Counselor | 263-267 Port Richmond Avenue, Staten Island, NY 10302 | 2012-01-30 |
| 1669743423 | Debora Blanford-gaskin | Counselor | 263/267 Port Richmond Ave, Staten Island, NY 10302 | 2012-01-25 |
| 1386915478 | Arthur Joseph Sagevick Jr. | Counselor | 3911 Richmond Avenue, Staten Island, NY 10312 | 2012-01-20 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10302 |
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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.