Individual ProviderMatthew James Loftus SmythStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave L. Levy Place, Attention Brandi Johnson, New York, NY 10029(212) 241-3531PECOS EnrollmentBased on the most recent information from CMS, provider Matthew James Loftus Smyth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1386345411Provider TypeIndividualFull NameSmyth, Matthew James LoftusTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date3/15/2023Last Updated9/20/2023Contact InformationPractice LocationPractice AddressOne Gustave L. Levy Place, Attention Brandi Johnson, New York, NY 10029Phone(212) 241-3531FaxUnlisted FaxMailing LocationMailing AddressOne Gustave L. Levy Place, Attention Brandi Johnson, New York, NY 10029PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer