Organization Active NPI

Smithville Medical Associates LLC

  • Family Medicine Physician
  • Galloway, NJ
National Provider Identifier
1295727576
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SMITHVILLE MEDICAL ASSOCIATES LLC
Practice address
28 S New York Rd
Suite C4
Galloway, NJ 08205-9695
Phone
(609) 652-0555
Fax
(609) 652-1414
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Mr. Ramchard Thadhani, MD
Title
Medical Doctor
Phone
(609) 652-0555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

28 S New York Rd
Suite C4
Galloway, NJ 08205-9695

Mailing address

28 South New York Rd
Suite C 4
Galloway, NJ 08205-9753
Phone (609) 652-0555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060320000033 NJ Part B Supplier - Clinic/Group Practice 0244247054 Receives reassigned benefits from 6 practitioners
Practice locations: Galloway, NJ; Somers Point, NJ; Pomona, NJ; Pleasantville, NJ; Northfield, NJ; Absecon, NJ

National Provider Directory

National Provider Directory

Locations

1935 Pacific Ave
Atlantic City, NJ 08401

29 S New York Rd
Galloway, NJ 08205
Phone 6097031521 ext. 202

48 S New York Rd
Ste B3
Galloway, NJ 08205
Phone (609) 404-0121

Practitioners & affiliated clinicians

Practitioners 6

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": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1295727576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SOUTH NEW YORK RD",
            "address_2": "SUITE C 4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059753",
            "telephone_number": "609-652-0555",
            "fax_number": "609-652-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S NEW YORK RD",
            "address_2": "SUITE C4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059695",
            "telephone_number": "609-652-0555",
            "fax_number": "609-652-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHVILLE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "THADHANI",
        "authorized_official_first_name": "RAMCHARD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "609-652-0555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.