Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013594076 Individual Practitioner Male Practitioner

Dr. Nathan W Smith , MD

Pediatrics • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Smith, MD is a certified Pediatrics practicing in Bronx, NY. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Smith delivers high-quality medical care to the local community at 111 E 210TH ST.

Dr. Smith does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

111 E 210th St

Bronx, NY 104672401

Telephone 7189204321
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bronx, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -12.7 yrs vs City Avg
City Avg: 17.7 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
590 Specialists

Practicing in Bronx, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (5 Years) 5 Yrs
Bronx Specialty Average (17.7 Years) 17.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 333910-01

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jiae Lee , MD

Psychiatry & Neurology - Neurology

NPI 1003262916

Doctor of Medicine (M.D.)

NPI 1003340456

Doctor of Medicine (M.D.)

Telisha Mclean

Nurse Practitioner - Family

NPI 1003359910
Shivaditya Choudhury

Anesthesiology

NPI 1003377490
Johanna Tan

Student in an Organized Health Care Education/Training Program

NPI 1003436999
NPI 1003437310

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 29, 2024

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

📍
Updated Business Mailing Address December 29, 2024

Registered at 25 WILLIAMS BLVD APT 2F, LAKE GROVE, NY 117553519 (Tel: 8043873598)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2024

Pediatrics (License #333910-01 in NY)

NPI Profile Active March 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2021

Registered at 101 NICOLLS ROAD, LEVEL 11 RM 040, STONY BROOK, NY 11794 (Tel: 6314442020)

📍
Updated Business Mailing Address March 25, 2021

Registered at 101 NICOLLS ROAD, LEVEL 11 RM 040, STONY BROOK, NY 11794 (Tel: 6314442020)

👤
Provider Name / Credentials Updated March 25, 2021

Recorded as NATHAN SMITH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Nathan Smith. Be the first to share your experience!

Sign in to leave a review for Dr. Nathan Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013594076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2021
Last Update: December 29, 2024
Sole Proprietor: No

Mailing Address

25 Williams Blvd Apt 2f

Lake Grove, NY 117553519

Phone: 8043873598

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.