Organization Active NPI

Smart Care Pediatrics PC

  • Primary Care Clinic/Center
  • Fort Lee, NJ
National Provider Identifier
1033532205
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA085322100 Issued in NJ
Legal business name
SMART CARE PEDIATRICS PC
Practice address
1640 Schlosser St
Suite C-3
Fort Lee, NJ 07024-5656
Phone
(201) 446-6701
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Mr. Brian Kim
Title
Biller
Phone
(201) 446-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA085322100 NJ Primary

Addresses

Primary practice location

1640 Schlosser St
Suite C-3
Fort Lee, NJ 07024-5656

Mailing address

51 Congressional Pkwy
Livingston, NJ 07039-2134
Phone (201) 446-6701

National Provider Directory

National Provider Directory

Locations

158 Linwood Plz
Ste 326328
Fort Lee, NJ 07024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1033532205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CONGRESSIONAL PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392134",
            "telephone_number": "201-446-6701",
            "fax_number": "201-875-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 SCHLOSSER ST",
            "address_2": "SUITE C-3",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245656",
            "telephone_number": "201-446-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART CARE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "201-446-6701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA085322100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.