Active NPI
GPS of New Jersey MD PC
- Specialist
- Perth Amboy, NJ
National Provider Identifier
1245529445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA08523300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George P Smith, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0215554 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic and Reconstructive Surgery Physician
- Staten Island, NY
- NPI 1205801982
NJ
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.