IndividualActive
Jenna Smith, PA-C
NPI 1124576772 · Medical Physician Assistant · Hempstead, NY
Provider details
- NPI number
- 1124576772
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 020030-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
540 Fulton Ave
Hempstead, NY 11550-4364
Phone: (516) 750-2500
Street-level locationGet directions
Mailing address
540 Fulton Ave
Hempstead, NY 11550-4364
Additional practice locations (1)
- 12510 Queens BlvdSuite 2701Kew Gardens, NY 11415-1519Phone: (718) 577-9172
Registry dates
- Enumerated
- 2016-09-12
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.