JENNA ROSE SMITH PA-C
NPI 1124576772
Physician Assistant - Medical in Hempstead, NY

Active since September 12, 2016
540 FULTON AVE, HEMPSTEAD, NY 11550(516) 750-2500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 14, 2017 and 1 more (4 updates tracked since 2016).

About Jenna Rose Smith Pa-c NPPES

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

JENNA ROSE SMITH PA-C (NPI 1124576772) is an individual medical provider in Hempstead, New York, licensed in New York (020030-1) and active in the NPI registry since September 2016. She maintains a secondary practice location in Kew Gardens.

NPPES Registry Identity

NPI1124576772
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNA ROSE SMITHCredential: PA-C
Location Address540 FULTON AVEHempstead, NY 11550-4364
Mailing Address540 Fulton AveHempstead, NY 11550-4364 · (516) 750-2500
Sole ProprietorNo
Enumeration DateSeptember 12, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1124576772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 020030-1
540 FULTON AVE, Hempstead, NY 11550

Secondary Practice Location 1

Location 112510 Queens Blvd, Suite 2701Kew Gardens, NY 11415-1519 · Phone (718) 577-9172

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.

Obstetrics & Gynecology
540 FULTON AVE
HEMPSTEAD, NY 11550
Nurse Practitioner (Adult Health)
540 FULTON AVE
HEMPSTEAD, NY 11550
Physician Assistant
540 FULTON AVE
HEMPSTEAD, NY 11550
Physician Assistant
540 FULTON AVE
HEMPSTEAD, NY 11550
Physician Assistant
540 FULTON AVE
HEMPSTEAD, NY 11550
Physician Assistant
540 FULTON AVE
HEMPSTEAD, NY 11550
Obstetrics & Gynecology
540 FULTON AVE, PLANNED PARENTHOOD OF NASSAU COUNTY
HEMPSTEAD, NY 11550
Physician Assistant
540 FULTON AVE
HEMPSTEAD, NY 11550

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 Jenna Smith's NPI number?

The NPI number for Jenna Smith is 1124576772. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Jenna Smith located?

Jenna Smith practices at 540 Fulton Ave, Hempstead, NY 11550. The listed phone number is (516) 750-2500.

What is Jenna Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jenna Smith was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.