Individual provider Active NPI

Robert Jay Smick, D.O.

  • Family Medicine Physician
  • Bellmawr, NJ
National Provider Identifier
1720013196
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06566200 Issued in NJ
Practice address
211 Benigno Blvd Ste 202
Bellmawr, NJ 08031-2513
Phone
(856) 931-0691
Fax
(856) 931-9253
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008685L PA
Family Medicine Physician 207Q00000X 25MB06566200 NJ Primary

Addresses

Primary practice location

211 Benigno Blvd Ste 202
Bellmawr, NJ 08031-2513

Mailing address

56 Holly Lane
Pilesgrove, NJ 08098
Phone (856) 769-4210

Other practice location 1

850 Germantown Pike
Plymouth Meeting, PA 19462-2400
Phone (610) 275-3884

Other identifiers 1

IdentifierTypeStateIssuer
7360207MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20120517000420 NJ Practitioner - Family Practice 0547423121 Reassigns benefits to 1 organization
I20150805006663 PA Practitioner - Family Practice 0547423121 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS008685LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of New Jersey PA CurrentSince Mar 3, 2014 Accepting new patients
American Current Care of New Jersey PA Current Accepting new patients
American Current Care of New Jersey, P.a. Current Accepting new patients
American Current Care P.a. CurrentSince Jun 21, 2015 Accepting new patients
American Current Care PA CurrentSince Jun 21, 2015 Accepting new patients
American Current Care of New Jersey PA CurrentSince Mar 3, 2014 Accepting new patients

Locations

211 Benigno Blvd
Ste 202
Bellmawr, NJ 08031
Phone (856) 931-0691

800 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (856) 662-7690

595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646

817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

850 Germantown Pike
Plymouth Meeting, PA 19462
Phone (610) 275-3884

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1720013196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HOLLY LANE",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "08098",
            "telephone_number": "856-769-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BENIGNO BLVD STE 202",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080312513",
            "telephone_number": "856-931-0691",
            "fax_number": "856-931-9253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194622400",
            "country_code": "US",
            "telephone_number": "610-275-3884",
            "fax_number": "610-275-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMICK",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008685L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06566200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7360207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmawr, NJ

Sources for this page

Verify at the official NPI Registry.