Gary Alan Smotrich, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA05344900 Issued in NJ

Practice address

3131 Princeton Pike
BLDG 5
Lawrenceville, NJ 08648-2201

Phone

(609) 896-2525

Fax

(609) 896-2639

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, MA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smotrich.gary.mvh@direct.partners.masshiway.net
• FHIR API: https://fhir4.healow.com/fhir/r4/JCEBBD

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

• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1043250616
  Medicare reassignment NPD
• Nantucket Dermatology, LLC

  • Dermatology Physician
  • Nantucket, MA
  • NPI 1689944811
  Medicare reassignment NPD
• Lawrenceville Plastic Surgery PC

  • Plastic and Reconstructive Surgery Physician
  • Lawrenceville, NJ
  • NPI 1649497892
  NPD Authorized official
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1316987993
  NPD
• Martha'S Vineyard Hospital

  • Obstetrics & Gynecology Physician
  • Oak Bluffs, MA
  • NPI 1962465500
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1588683098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BLDG 5",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-896-2525",
            "fax_number": "609-896-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BLDG 5",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-896-2525",
            "fax_number": "609-896-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTRICH",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA05344900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce W Small, D.M.D.
• Daniel A Small, M.D.
• Kaitlin C Small, D.M.D.
• Lizbeth A Smith, DNP, APN.,C
• Gregory Smola, LCSW
• Mark S Sofair-Fisch, PHD
• Tamara Sofair-Fisch, PHD
• Katherine Solway, NURSE PRACTITIONER
• Somnus DME
• Katie Soto, LAC,LCADC

• Plastic Surgery Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.