NPIMap

Individual provider Active NPI

Joseph Smotkin, MD

  • Internal Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1376504415
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07764200 Issued in NJ
Practice address
6-05 Saddle River Rd # 138
Fair Lawn, NJ 07410-5610
Phone
(201) 787-7108
NPI assigned
Mar 29, 2006
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07764200 NJ Primary
Hospitalist Physician 208M00000X 60 246381 NY
Hospitalist Physician 208M00000X LT2566 NH

Addresses

Primary practice location

6-05 Saddle River Rd # 138
Fair Lawn, NJ 07410-5610

Mailing address

6-05 Saddle River Rd # 138
Fair Lawn, NJ 07410-5610
Phone (201) 787-7108

Other identifiers 4

IdentifierTypeStateIssuer
020470410OtherNHTAX ID
000241301OtherNHMEDICARE ID
30206961MedicaidNH
432640099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050111000057 NJ Practitioner - Internal Medicine 2860440435 Reassigns benefits to 1 organization
I20151015000437 PA Practitioner - Internal Medicine 2860440435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania HM Associates, PCGroup PAC ID 0547404337, 31 clinicians

Practice addresses (Care Compare)

206 E Brown St
Pocono Medical Center
East Stroudsburg, PA 18301-3094
Phone (570) 421-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07764200NJMDInternal Medicine Physician
60 246381NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician First LLC CurrentSince Aug 19, 2024 Accepting new patients
Pennsylvania HM Associates PC Hospitalist CurrentSince Sep 10, 2015 Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients
Synergy Hospitalist Group LLC Internal Medicine PastSince Jan 1, 2007 Accepting new patients
Appledore Medical Group Inc Internal Medicine Past Accepting new patients
Nbimc Department of Geriatrics Past Accepting new patients
Appledore Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

6-05 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 787-7108

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clover Rest HomeColumbia, NJ, CCN 315429 Skilled nursing facility Adp of the SNF Dec 3, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1376504415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6-05 SADDLE RIVER RD # 138",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105610",
            "telephone_number": "201-787-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6-05 SADDLE RIVER RD # 138",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105610",
            "telephone_number": "201-787-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTKIN",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07764200",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "60 246381",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "LT2566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "020470410",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "000241301",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206961",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432640099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.