MS. MELISSA SMITH GNP NPI 1053533208

NPI Information

NPI: 1053533208
Provider Name: MS. MELISSA SMITH, GNP
Classification: Nurse Practitioner - 363LG0600X
Specialization: Gerontology
Entity Type: Individual
Address: 1 PENN PLZ FL 8
NEW YORK, NY
ZIP 10119
Phone: (201) 780-9907

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NPI Details

MS. Melissa Smith, GNP is a gerontology nurse practitioner in New York, NY. MS. Melissa Smith, GNP NPI is 1053533208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 PENN PLZ FL 8
NEW YORK, NY
ZIP 10119-899
Phone: (201) 780-9907

The enumeration date for this NPI number is 5/3/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	F340605-1	NEW YORK	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	26NJ00148300	NEW JERSEY	No
3	163W00000X	Registered Nurse		26NR13075600	NEW JERSEY	No
4	163W00000X	Registered Nurse		493146-1	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F340605	OTHER	NEW YORK	NYS GNP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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