Jeffrey Smok, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA07418900 Issued in NJ

Practice address

350 Engle St
Englewood, NJ 07631-1808

Phone

(201) 894-3322

Fax

(201) 894-0585

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

JC Edwards School of Medicine, Marshall University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastro-Surgi Center of New JerseyGroup PAC ID 9234125840, 9 clinicians

Northern Valley Anesthesiology PAGroup PAC ID 0749194868, 85 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gastro-Surgi Center of New Jersey

  • Anesthesiology Physician
  • Mountainside, NJ
  • NPI 1851594519
  Medicare reassignment Care Compare group NPD
• Northern Valley Anesthesiology, P.a.

  • Anesthesiology Physician
  • Englewood, NJ
  • NPI 1245289487
  Medicare reassignment Care Compare group NPD
• Digestive Healthcare Center PA

  • Specialist
  • Hillsborough, NJ
  • NPI 1255318085
  Medicare reassignment NPD
• Morris Avenue Endoscopy LLC

  • Anesthesiology Physician
  • Mountainside, NJ
  • NPI 1184778060
  Medicare reassignment NPD
• Liberty Anesthesia Associates LLC

  • Anesthesiology Physician
  • Jersey City, NJ
  • NPI 1154370393
  NPD (past) Authorized official
• Banesthesia Consultants of New Jersey,L.L.C

  • Anesthesiologist Assistant
  • Somerset, NJ
  • NPI 1457663486
  NPD (past)
• Morris Avenue Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Mountainside, NJ
  • NPI 1780747394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1033168232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ENGLE ST",
            "address_2": "SECOND FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311823",
            "telephone_number": "201-871-0673",
            "fax_number": "201-655-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3322",
            "fax_number": "201-894-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOK",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07418900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005029",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00250117",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02184816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph S Sison, MD
• Alicia C Skarimbas, MD
• Jacqueline A Skoufas, FNP
• Alyson Jill Small, REGISTERED DIEITIAN
• Ebben Will Smith, M.D.
• Adam E Sniderman, VMD
• In Young Sohn
• Lisa Sokoloff, LCSW
• Shalom Sokolow, M.D.
• Maryam Soliman, D.O

• Anesthesiology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.