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MR. TENNYSON ANTONIO SMITH
NPI 1245028729
Nurse Practitioner - Family in Staten Island, NY

Active since April 25, 2025
24 PARKVIEW LOOP, STATEN ISLAND, NY 10314(917) 293-0146(917) 293-0146 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tennyson Antonio Smith NPPES

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

MR. TENNYSON ANTONIO SMITH (NPI 1245028729) is an individual family provider in Staten Island, New York, licensed in New York (353561) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1245028729
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. TENNYSON ANTONIO SMITH
Location Address24 PARKVIEW LOOPStaten Island, NY 10314-1661
Mailing Address24 Parkview LoopStaten Island, NY 10314-1661 · (917) 293-0146 · Fax (917) 293-0146
Phone(917) 293-0146
Fax(917) 293-0146
Sole ProprietorYes
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1245028729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 353561
24 PARKVIEW LOOP, Staten Island, NY 10314
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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 Tennyson Smith's NPI number?

The NPI number for Tennyson Smith is 1245028729. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Tennyson Smith located?

Tennyson Smith practices at 24 Parkview Loop, Staten Island, NY 10314. The listed phone number is (917) 293-0146.

What is Tennyson Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tennyson Smith was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.