Active NPI
Corey Kamahl Smith, M.D.
- Emergency Medicine Physician
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA077990
- Practice address
- 75 E Northfield Rd
Livingston, NJ 07039-4532 - Phone
- (973) 436-1500
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA077990 | NJ | Primary |
Addresses
Primary practice location
75 E Northfield Rd
Livingston, NJ 07039-4532
Mailing address
75 E Northfield Rd
Livingston, NJ 07039-4532
Phone (973) 436-1500
Other practice location 1
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4010
Other practice location 2
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6063
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA077990 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Bank Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Capital Health Multispecialty Group | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Cobblestone Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Emergency Medicine Physician
- New Brunswick, NJ
- NPI 1629205844
-
- Emergency Medicine Physician
- St Augustine, FL
- NPI 1134264641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1699724237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 E NORTHFIELD RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394532",
"telephone_number": "973-436-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E NORTHFIELD RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394532",
"telephone_number": "973-436-1500"
}
],
"practiceLocations": [
{
"address_1": "1 Capital Way",
"address_purpose": "LOCATION",
"city": "Pennington",
"state": "NJ",
"postal_code": "085342520",
"country_code": "US",
"telephone_number": "609-303-4010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Brunswick Ave",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "NJ",
"postal_code": "086384143",
"country_code": "US",
"telephone_number": "609-394-6063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "COREY",
"middle_name": "KAMAHL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA077990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.