MEDICARE: JANICE T. SMITH FAMILY HEALTH NP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1215896444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANICE T. SMITH FAMILY HEALTH NP, PLLC

Provider Business Mailing Address
First Line	:	221 REVERE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-3324
Country	:	US
Telephone Number	:	347-615-1411
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 REVERE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-3324
Country	:	US
Telephone Number	:	347-615-1411
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MS. JANICE TOQULIA SMITH
Credential	:	FNP
Telephone Number	:	347-615-1411

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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