Individual provider Active NPI

Naomi Smukler, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1417185547
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA09564900 Issued in NJ
Practice address
30 De Koven CT
Brooklyn, NY 11230-1708
Phone
(917) 685-5906
NPI assigned
Jun 26, 2009
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anesthesiology Physician 207L00000X MA09564900 NJ
Anesthesiology Physician 207L00000X 25MA09564900 NJ Primary

Addresses

Primary practice location

30 De Koven CT
Brooklyn, NY 11230-1708

Mailing address

30 De Koven CT
Brooklyn, NY 11230-1708

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150127002126 NJ Practitioner - Anesthesiology 2860716669 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09564900NJMDAnesthesiology Physician
MA09564900NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G.S. Anesthesia Associates P.a. CurrentSince Dec 1, 2024 Accepting new patients
Oradell Anesthesia Associates LLC Anesthesiology CurrentSince Dec 1, 2024 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Feb 11, 2021 Accepting new patients

Locations

1117 US Highway 46
Ste 301
Clifton, NJ 07013
Phone (973) 777-5444

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1417185547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DE KOVEN CT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DE KOVEN CT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301708",
            "telephone_number": "917-685-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUKLER",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA09564900",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09564900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.