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

Mr. Brandon Smith, RN, STUDENTNP

Individual provider Emergency Registered Nurse · NPI 1730822115

Mr. Brandon Smith, RN, STUDENTNP is a Nurse Practitioner in New York, New York. Qualified in 2022, 4 years ago. Practices with Memorial Anesthesiology Group, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Clarkson Ave, Brooklyn, NY 11203-2012 — (347) 996-9625

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350490 (NY)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 779775 (NY)

Record details

NPI number1730822115
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , STUDENTNP
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Memorial Anesthesiology Group — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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