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

Mr. Tennyson Antonio Smith

Individual provider Family Nurse Practitioner · NPI 1245028729

Mr. Tennyson Antonio Smith is a Family Nurse Practitioner in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

24 Parkview Loop
Staten Island, NY 10314-1661
Phone: (917) 293-0146
Fax: (917) 293-0146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 353561 (NY)

Record details

NPI number1245028729
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 25, 2025
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

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