Ty Smith Nurse Practitioner Adult
NPI 1912788613 · Primary Care Clinic/Center · Valley Stream, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ty Smith Nurse Practitioner Adult is a Primary Care Clinic/Center organization in Valley Stream, NY (NPI 1912788613).
Provider details
- NPI number
- 1912788613
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tamara Smith, Owner(516) 284-7521
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2023-10-09
- Last updated
- 2024-01-27
- Certified
- 2024-01-27
Frequently asked questions
- What is Ty Smith Nurse Practitioner Adult's NPI number?
- Ty Smith Nurse Practitioner Adult's National Provider Identifier (NPI) is 1912788613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ty Smith Nurse Practitioner Adult?
- Ty Smith Nurse Practitioner Adult is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ty Smith Nurse Practitioner Adult located?
- Ty Smith Nurse Practitioner Adult's practice location on file with NPPES is 76 S Central Ave Ste 1a, Valley Stream, NY 11580-5405.
- What is Ty Smith Nurse Practitioner Adult's phone number?
- The practice phone number listed in the NPPES registry for Ty Smith Nurse Practitioner Adult is (516) 770-6102.
- Does Ty Smith Nurse Practitioner Adult accept Medicare?
- Ty Smith Nurse Practitioner Adult is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ty Smith Nurse Practitioner Adult?
- The authorized official listed on Ty Smith Nurse Practitioner Adult's NPPES record is Tamara Smith, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ty Smith Nurse Practitioner Adult's NPI active?
- Yes — Ty Smith Nurse Practitioner Adult's NPI (1912788613) is active in the NPPES registry as of the last update on 2024-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.