MARK SMITH MD NPI 1093885485

NPI Information

NPI: 1093885485
Provider Name: MARK SMITH, MD
Classification: Emergency Medicine - 207PE0004X
Specialization: Emergency Medical Services
Entity Type: Individual
PECOS Registration: Yes
Address: 4802 10TH AVE
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8773

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NPI Details

Mark Smith, MD is an emergency medical services emergency medicine in Brooklyn, NY with 50 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Mark Smith, MD NPI is 1093885485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:1976

The provider's business location address is:

4802 10TH AVE
BROOKLYN, NY
ZIP 11219-916
Phone: (718) 283-8773
Fax: (718) 283-8796

The NPI 1093885485 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
Automated urinalysis test (HCPCS:81003)
New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)

The enumeration date for this NPI number is 11/9/2006 and was last updated on 3/11/2009.

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	207PE0004X	Emergency Medicine	Emergency Medical Services	145831	NEW YORK	Yes

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
1	21F383	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	00755197	MEDICAID	NEW YORK
3	C03681	MEDICARE UPIN	NEW YORK

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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