Individual provider Active NPI

John S Smith, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • East Windsor, NJ
National Provider Identifier
1477560910
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00135000 Issued in NJ
Practice address
113 Maple Stream Rd
East Windsor, NJ 08520-2409
Phone
(609) 448-1292
Fax
(609) 448-3507
NPI assigned
Aug 1, 2006
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00135000 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00135000 NJ Primary

Addresses

Primary practice location

113 Maple Stream Rd
East Windsor, NJ 08520-2409

Mailing address

113 Maple Stream Rd
East Windsor, NJ 08520-2409
Phone (609) 448-1292

Other practice location 1

325 Princeton Ave
Princeton, NJ 08540-1617
Phone (609) 924-8131

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000717 NJ Practitioner - Podiatry 0648178194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
J M Podiatry Associates PC Foot & Ankle Surgery Past Accepting new patients

Locations

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

325 Princeton Ave
Princeton, NJ 08540
Phone (609) 924-5044

727 State Rd
Princeton, NJ 08540
Phone (609) 921-6410

Organizations & group practices 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1477560910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAPLE STREAM RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202409",
            "telephone_number": "609-448-1292",
            "fax_number": "609-448-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAPLE STREAM RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202409",
            "telephone_number": "609-448-1292",
            "fax_number": "609-448-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Princeton Ave",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401617",
            "country_code": "US",
            "telephone_number": "609-924-8131",
            "fax_number": "609-924-8532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00135000",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00135000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.