Elton John Smith
M.D. | Psychiatry | Child & Adolescent | 23+ years Exp
4641 Roosevelt Blvd, Phila
Pennsylvania, 19124-2343
215-831-4600 Maps & DirectionsElton John Smith is a Phila, Pennsylvania based psychiatrist with 23 years of experience in Child & Adolescent. He completed his graduation from Morehouse School Of Medicine in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Elton John Smith is 0101259244 for Psychiatry in Virginia. His current practice location is 4641 Roosevelt Blvd, Phila. Patients can reach him at 215-831-4600. Elton John Smith is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1679526784.
Elton John Smith has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Elton John Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Elton John Smith |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | M.D. |
| Experience: | 23+ years |
| Medical School Attended: | Morehouse School Of Medicine |
| Graduation Year: | 2002 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4641 Roosevelt Blvd, Phila,
Pennsylvania, 19124-2343 |
| Phone: | 215-831-4600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1759487614 |
| Enrollment ID: | I20070509000526 |
| NPI Number: | 1679526784 |
| NPI Enumeration Date: | 18 May, 2006 |
| NPI Last Update On: | 27 Oct, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elton John Smith are as mentioned below.
| License Number | Specialization | State | Status | |
| 0101259244 | Psychiatry | Virginia | Primary | |
| 25MA08836800 | Child & Adolescent | New Jersey | Secondary | |
| MD425154 | Psychiatry | Pennsylvania | Secondary | |
| C1-0008215 | Psychiatry | Delaware | Secondary | |
| 0101259244 | Child & Adolescent | Virginia | Secondary | |
| 036140146 | Psychiatry | Illinois | Secondary | |
| 25MA08836800 | Psychiatry | New Jersey | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Elton John Smith is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Fornance Physician Services Inc (8527962661) | 108 |
| Center For Family Guidance Pc (2860396454) | 127 |
| Albany Medical College (1759293111) | 840 |
| Mcv Associated Physicians (4385542117) | 1195 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Elton John Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| MD425154 | Other | Pennsylvania | LICENSE NUMBER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Elton John Smith
4641 E Roosevelt Blvd,
Phila, Pennsylvania |
| Zip: | 19124-2343 |
| Phone Number: | 215-831-4600 |
Patients can reach Elton John Smith at
4641 Roosevelt Blvd, Phila, Pennsylvania or can
call to book an appointment on 215-831-4600.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.