Organization Active NPI

Smart Preventative LLC

  • Organ Procurement Organization
  • Garfield, NJ
National Provider Identifier
1184175721
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Organ Procurement OrganizationTaxonomy code 335U00000X
Legal business name
SMART PREVENTATIVE LLC
Practice address
158 Lincoln PL
Garfield, NJ 07026
Phone
(201) 679-3977
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Mr. David Hoover
Title
Officer
Phone
(201) 679-3977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Organ Procurement Organization 335U00000X Primary

Addresses

Primary practice location

158 Lincoln PL
Garfield, NJ 07026

Mailing address

158 Lincoln PL
Garfield, NJ 07026-1843
Phone (201) 679-3977

Other identifiers 1

IdentifierTypeStateIssuer
156763258MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1184175721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 LINCOLN PL",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261843",
            "telephone_number": "201-679-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LINCOLN PL",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "07026",
            "telephone_number": "201-679-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART PREVENTATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "201-679-3977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156763258",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.