Organization Active NPI

GPS of New Jersey MD PC

  • Specialist
  • Perth Amboy, NJ
National Provider Identifier
1245529445
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA08523300 Issued in NJ
Legal business name
GPS OF NEW JERSEY MD PC
Practice address
272 High Street
Perth Amboy, NJ 08861-4406
Phone
(732) 826-0111
Fax
(732) 826-2111
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. George P Smith, MDNPI 1205801982
Title
Physician
Phone
(732) 826-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA08523300 NJ Primary

Addresses

Primary practice location

272 High Street
Perth Amboy, NJ 08861-4406

Mailing address

272 High Street
Perth Amboy, NJ 08861-4406
Phone (732) 826-0111

Other identifiers 1

IdentifierTypeStateIssuer
0215554MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000031 NJ Part B Supplier - Clinic/Group Practice 7810171659 Receives reassigned benefits from 1 practitioner
Practice locations: Oakhurst, NJ; Perth Amboy, NJ

National Provider Directory

National Provider Directory

Locations

272 High St
Perth Amboy, NJ 08861
Phone (732) 719-8678

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": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1245529445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HIGH STREET",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614406",
            "telephone_number": "732-826-0111",
            "fax_number": "732-826-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HIGH STREET",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614406",
            "telephone_number": "732-826-0111",
            "fax_number": "732-826-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPS OF NEW JERSEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-826-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08523300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215554",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.