Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charisse Smith, PA

Individual provider Medical Physician Assistant · NPI 1427017995

Charisse Smith, PA is a Physician Assistant in New York, New York. Qualified in 2001, 25 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
25
Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11 Madison Ave
New York, NY 10010-3643
Phone: (212) 538-7770
Fax: (212) 656-1780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 — (516) 783-4600

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00701600 (NJ)

Record details

NPI number1427017995
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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