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DERRICK SMITH
NPI 1184384117
Specialist in Bronx, NY

Active since December 17, 2021
530 TINTON AVE, BRONX, NY 10455(646) 231-1764 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2022, Dec 17, 2021 (2 updates tracked since 2021).

About Derrick Smith NPPES

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

DERRICK SMITH (NPI 1184384117) is an individual specialist in Bronx, New York, licensed in New York (1526590211) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1184384117
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDERRICK SMITH
Location Address530 TINTON AVEBronx, NY 10455-4516
Mailing Address530 Tinton AveBronx, NY 10455-4516 · (646) 231-1764
Phone(646) 231-1764
Sole ProprietorNo
Enumeration DateDecember 17, 2021
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1184384117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1526590211
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
530 TINTON AVE, Bronx, NY 10455
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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 Derrick Smith's NPI number?

The NPI number for Derrick Smith is 1184384117. It was assigned to this individual provider in the NPPES registry on December 17, 2021.

Where is Derrick Smith located?

Derrick Smith practices at 530 Tinton Ave, Bronx, NY 10455. The listed phone number is (646) 231-1764.

What is Derrick Smith's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Derrick Smith was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.