DR. ROLAND THEODORE SMITH III MD
NPI 1114629219
Student in an Organized Health Care Education/Training Program in Mineola, NY

Q: What is Roland Smith's NPI number?

The NPI number for Roland Smith is 1114629219. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Roland Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Roland Smith was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2023PECOS Enrolled

222 STATION PLZ N, MINEOLA, NY 11501(516) 663-9484 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Roland Theodore Smith Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROLAND THEODORE SMITH III MD (NPI 1114629219) is an individual student in an organized health care education/training program in Mineola, New York and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114629219

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ROLAND THEODORE SMITH IIICredential: MD

Location Address222 STATION PLZ NMineola, NY 11501-3800

Mailing Address222 Station Plz NMineola, NY 11501-3800 · (516) 663-9484

Phone(516) 663-9484

Sole ProprietorNo

Enumeration DateMarch 21, 2023

Last NPPES UpdateJune 19, 2026

NPPES CertifiedJune 19, 2026

✔ NPI 1114629219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

222 STATION PLZ N, Mineola, NY 11501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roland Theodore Smith Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT BARRY SCHNEE PH.D.

Psychologist

222 STATION PLZ N, SUITE 611
MINEOLA, NY 11501

Nassau County (516) 663-4572

DR. JOHN FRANCIS ALOIA M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

222 STATION PLZ N, SUITE 350A
MINEOLA, NY 11501

Nassau County (516) 663-3511

DR. PAULA LESTER M.D.,

Internal Medicine (Geriatric Medicine)

222 STATION PLZ N, SUITE 518
MINEOLA, NY 11501

Nassau County (516) 663-2588

DR. XIAOLING XIONG

Pathology (Anatomic Pathology & Clinical Pathology)

222 STATION PLZ N, 222 STATION PIAZA N - STE 620
MINEOLA, NY 11501

Nassau County (516) 663-4560

ROLANDO CAPATI GUEVARRA M.D.

Pediatrics (Pediatric Gastroenterology)

222 STATION PLZ N, SUITE 408
MINEOLA, NY 11501

Nassau County (516) 663-8534

ANDREA S. FLIEDER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

222 STATION PLZ N, SUITE 606
MINEOLA, NY 11501

Nassau County (516) 663-2468

WINTHROP INFECTIOUS DISEASE ASSOCIATES UNIV FACULTY PRACTICE CORP

Internal Medicine (Infectious Disease)

222 STATION PLZ N, SUITE 432
MINEOLA, NY 11501

Nassau County (516) 663-2507

MITU SINGH SAGGAR M.D.

Pediatrics

222 STATION PLZ N
MINEOLA, NY 11501

Nassau County (516) 663-2532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roland Smith's NPI number?

The NPI number for Roland Smith is 1114629219. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Roland Smith located?

Roland Smith practices at 222 Station Plz N, Mineola, NY 11501. The listed phone number is (516) 663-9484.

What is Roland Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Roland Smith enrolled in Medicare?

Yes. Roland Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roland Smith was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.