DR. STEPHEN SMIRLOCK (NPI# 1952344673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952344673 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN SMIRLOCK |
| Credential | DPM |
| Practice Address |
1025 Armstrong Ave Staten Island NY 10308-1210 |
| Mailing Address |
1157 E 26th St Brooklyn NY 11210-4608 |
| Practice Telephone | 7189968744 |
| Practice Fax Number | 7187241889 |
| Mailing Telephone | 7187241888 |
| Mailing Fax Number | 7187241889 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
25MD00166100 | NJ | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N0022322 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00413369 | 05 | |
| NJ | 8828369 | 05 |
| Street Address |
1025 ARMSTRONG AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10308-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568651420 | Bruce Harry Rothstein | Dentist | 1025 Armstrong Ave, Staten Island, NY 10308-1210 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410117 | Young Minds Early Enrichment | Early Intervention Provider Agency | 143 Wiman Avenue, Staten Island, NY 10308 | 2019-10-29 |
| 1346619483 | Babymedevac, Inc. | Ambulance | 150 L Greaves Lane, Suite 142, Staten Island, NY 10308 | 2015-09-18 |
| 1497179527 | Advanced Life Care Planning LLC | Home Health | 255 Katan Ave., Score Rehab, Staten Island, NY 10308 | 2014-02-10 |
| 1255777009 | Laura Marie De La Cruz | Specialist | 132 Sandalwood Dr, Staten Island, NY 10308 | 2013-05-21 |
| 1205179363 | Danielle Gorga | Registered Nurse | 68 Harbour Court, Staten Island, NY 10308 | 2013-03-27 |
| 1427307388 | Maria Madelyn Sylvester | Specialist | 4024 Amboy Road, Staten Island, NY 10308 | 2012-09-06 |
| 1679836241 | Concetta Maria Falzone | Specialist | 51 Margaret Street, Staten Island, NY 10308 | 2012-06-19 |
| 1972865392 | Michael D. Desarlo | Specialist | 175 Sandalwood Drive, Staten Island, NY 10308 | 2012-06-12 |
| 1881991867 | Markella Zannikos | Speech-Language Pathologist | 423 Corbin Avenue, Staten Island, NY 10308 | 2011-02-28 |
| 1013227800 | Therapy Link PC | Community/Behavioral Health | 3936 Amboy Road, Staten Island, NY 10308 | 2010-10-14 |
| Find all providers in zip 10308 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760709505 | Richmond Podiatry Associates | Podiatrist | 4243 Richmond Ave., Staten Island, NY 10312-6238 | 2010-05-03 |
| 1295903144 | Steven Gregory Karasik | Podiatrist | 100 Seaview Ave, Staten Island, NY 10304-2836 | 2008-02-13 |
| 1982769477 | Aluko Osafo Jervis | Podiatrist | 295 Myrtle Ave, Staten Island, NY 10310-2332 | 2006-12-26 |
| 1144319864 | Anthony D Olivieri | Podiatrist | 3371 Richmond Ave, Staten Island, NY 10312-2025 | 2006-10-12 |
| 1184699795 | Gary Bartholomew Gugliada | Podiatrist | 89 Cromwell Ave, Staten Island, NY 10304-3944 | 2006-02-18 |
| 1174505630 | Ravi Kaizer Kamble | Podiatrist | 2338 Richmond Rd, Staten Island, NY 10306-2346 | 2005-11-18 |
| 1861876328 | Christal D Charbonnet, Dpm P.C. | Podiatrist | 4243 Richmond Ave, 1st Floor, Staten Island, NY 10312-6221 | 2015-07-15 |
| 1780811471 | Christal D Charbonnet | Podiatrist | 4243 Richmond Ave, Richmond Podiatry, Staten Island, NY 10312-6221 | 2009-06-19 |
| 1356576961 | Luis H. Mora | Podiatrist | 2749 Hylan Blvd, Staten Island, NY 10306-4656 | 2009-05-27 |
| 1871755256 | Lee Andrew Reiter | Podiatrist | 1534 Victory Blvd, Staten Island, NY 10314-3548 | 2008-06-27 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10308 |
Please comment or provide details below to improve the information on DR. STEPHEN SMIRLOCK.
| 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.