CHARISSE SMITH PA
NPI 1427017995
Physician Assistant - Medical in New York, NY

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
11 MADISON AVE, NEW YORK, NY 10010(212) 538-7770(212) 656-1780 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, May 29, 2026, Dec 16, 2025 (3 updates tracked since 2025).

About Charisse Smith Pa NPPES

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

CHARISSE SMITH PA (NPI 1427017995) is an individual medical provider in New York, New York, licensed in New Jersey (25MP00701600) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley Heights, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1427017995
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHARISSE SMITHCredential: PA
Location Address11 MADISON AVENew York, NY 10010-3643
Mailing Address11 Madison AveNew York, NY 10010-3643 · (212) 538-7770 · Fax (212) 656-1780
Fax(212) 656-1780
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 22, 2006
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1427017995 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 NJ · 25MP00701600
11 MADISON AVE, New York, NY 10010

Secondary Practice Location 1

Location 11 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · Phone (516) 783-4600

Other Identifiers 2

Medicaid02831643NY
OtherP00330253Railroad

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charisse Smith Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537104716
PECOS Enrollment IDI20050628000677, I20260105000006
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.

Other Providers at the Same Location NPPES 3

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

Physical Therapist (Orthopedic)
11 MADISON AVE, LEVEL 1B
NEW YORK, NY 10010
General Practice
11 MADISON AVE
NEW YORK, NY 10010
Clinic/Center (Multi-Specialty)
11 MADISON AVE
NEW YORK, NY 10010

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 Charisse Smith's NPI number?

The NPI number for Charisse Smith is 1427017995. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Charisse Smith located?

Charisse Smith practices at 11 Madison Ave, New York, NY 10010. The listed phone number is (212) 538-7770.

What is Charisse Smith's specialty?

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

Is Charisse Smith enrolled in Medicare?

Yes. Charisse Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Charisse Smith was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.