DERRICK SMITH JR.
NPI 1922488154
Nurse Anesthetist, Certified Registered in New York, NY

Active since June 03, 2015
100/100
CMS Quality Rating
100 2ND AVE, APT 2A, NEW YORK, NY 10003(609) 556-8345 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Derrick Smith Jr. NPPES

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

DERRICK SMITH JR. (NPI 1922488154) is an individual nurse anesthetist, certified registered in New York, New York, licensed in New York (603487) and active in the NPI registry since June 2015. He is affiliated with Jamaica Hospital Medical Center and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922488154
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDERRICK SMITH JR.
Location Address100 2ND AVE, APT 2ANew York, NY 10003-8307
Mailing Address100 2nd Ave, Apt 2aNew York, NY 10003-8307 · (609) 556-8345
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 3, 2015
NPI 1922488154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NY · 603487
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
100 2ND AVE, New York, NY 10003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Derrick Smith Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193009751
PECOS Enrollment IDI20170227000509

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
20 services20 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
14 services14 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
13 services13 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Hudson Valley Hospital Center

Acute Care Hospitals · Cortlandt Manor, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330267
Location1980 Crompond RoadCortlandt Manor, NY 10567 · Westchester County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

General Acute Care Hospital
100 2ND AVE, APT. 2A
NEW YORK, NY 10003

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 1922488154. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Derrick Smith located?

Derrick Smith practices at 100 2nd Ave Apt 2A, New York, NY 10003. The listed phone number is (609) 556-8345.

What is Derrick Smith's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Derrick Smith enrolled in Medicare?

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

Is Derrick Smith affiliated with any hospitals?

According to CMS data, Derrick Smith is affiliated with Jamaica Hospital Medical Center, Montefiore Medical Center and Hudson Valley Hospital Center.

When was this NPI record last updated?

The NPPES record for Derrick Smith was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.