Stephen Smith, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MA060236 Issued in NJ

Practice address

189 Eagle Rock Ave
Roseland, NJ 07068-1347

Phone

(973) 980-0195

Fax

(973) 774-1920

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Internal MedicineAlso: Infectious Disease

Education

Yale University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infectious Disease Specialists LLCGroup PAC ID 0547279036, 6 clinicians

Smith Center for Infectious Diseases and Urban Health, P.a.Group PAC ID 2062545494, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083

Merit-based Incentive Payment System (MIPS)

Final score

69.61 of 100Reported as group

Quality

95

Improvement activities

0

Cost

72.03

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.

• Infectious Disease Specialists LLC

  • Infectious Disease Physician
  • Roseland, NJ
  • NPI 1699711762

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Smith Center for Infectious Diseases and Urban Health, P.a.

  • Voluntary or Charitable Agency
  • East Orange, NJ
  • NPI 1114242625

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• St Michael Infectious Disease Associates

  • Infectious Disease Physician
  • Newark, NJ
  • NPI 1811942766

  Single Specialty

  NPD (past) Authorized official
• Infectious Disease Associates

  • Infectious Disease Physician
  • Roseland, NJ
  • NPI 1932252038

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Eoh Acquisition Group, LLC

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  Care Compare affiliation

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104875814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070680054",
            "telephone_number": "973-980-0195",
            "fax_number": "973-774-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 EAGLE ROCK AVE",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681347",
            "telephone_number": "973-980-0195",
            "fax_number": "973-774-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA06023600",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA060236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8420301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prachi Shah
• Shelly D'Amato LLC
• SHP V Roseland, LLC
• Sophia Adrineh Simonian, MS, RDN
• Brooke Michele Skolnick, D.M.D.
• Social Strides, LLC
• Beth Spiegel Sonnenberg, LCSW
• Poonam M Sooknanan, DPT
• Diana L. Spangenberg, A.P.N.-C
• Holly Sragow, LCSW

• Infectious Disease Physician in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.