John P Smith, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

029040 Issued in NJ

Practice address

1501 Broadway
Suite 4
Fairlawn, NJ 07410

Phone

(201) 794-6505

Fax

(201) 794-1167

NPI assigned

Nov 7, 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 1

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Philadelphia College of Osteopathic Medicine, 1973

Medicare assignment

May accept Medicare assignment

Group practices

Cardiac Arrhythmia Specialist PCGroup PAC ID 4385823582, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.87 of 100Reported as group

Quality

95.6

Improvement activities

40

Cost

67.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIDGAD
• FHIR API: https://fhir4.healow.com/fhir/r4/JIDGAD/Endpoint/JIDGAD

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.

• Cardiac Arrhythmia Specialist PC

  • Clinical Cardiac Electrophysiology Physician
  • Clifton, NJ
  • NPI 1770619264
  Medicare reassignment Care Compare group NPD
• Special Care OB/GYN Associates Inc

  • Obstetrics & Gynecology Physician
  • Belleville, NJ
  • NPI 1831389717
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1043389869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY",
            "address_2": "SUITE 4",
            "city": "FAIRLAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-794-6505",
            "fax_number": "201-794-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY",
            "address_2": "SUITE 4",
            "city": "FAIRLAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-794-6505",
            "fax_number": "201-794-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "029040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rimvida Obeleniene, MD FACC
• Orthopedic Care Hand Center
• Passaic Arts and Science Charter School
• Paterson Arts & Science Charter School
• Pinelli Chiropractic Center

• Cardiovascular Disease Physician in Fairlawn, NJ
• Providers in Fairlawn, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.