Kenneth Smith Jr., DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MB06618700 Issued in NJ

Practice address

123 Willow Oak Lane
Mullica Hill, NJ 08062

Phone

(856) 237-4126

Fax

(856) 417-3089

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, DE2 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

Specialty

AnesthesiologyAlso: Critical Care (Intensivists)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Allied Digestive Health, LLC

  • Gastroenterology Physician
  • West Long Beach, NJ
  • NPI 1265831259

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Parkway Anesthesia Associates LLC

  • Anesthesiology Physician
  • North Bergen, NJ
  • NPI 1518319755
  Medicare reassignment Care Compare group NPD
• Ny NJ Anesthesia LLC

  • Anesthesiology Physician
  • Wyckoff, NJ
  • NPI 1396299582
  Medicare reassignment NPD
• South Jersey Anesthesia and Pain Physicians PC

  • Anesthesiology Physician
  • Woodbury, NJ
  • NPI 1700821352
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Delaware, PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Wilmington, DE
  • NPI 1780951814
  Medicare reassignment NPD
• Alliance for Better Care, P.C.

  • Family Medicine Physician
  • Medford, NJ
  • NPI 1740352459
  NPD (past)
• Atlantic Coast Gastroenterology Associates

  • Gastroenterology Physician
  • Brick, NJ
  • NPI 1679512578
  NPD (past)
• Atlanticare Regional Medical Center

  • Anesthesiology Physician
  • Pomona, NJ
  • NPI 1710930102
  NPD (past)
• Kennedy Medical Group Practice, P.C.

  • Family Medicine Physician
  • Stratford, NJ
  • NPI 1437410990
  NPD (past)
• Intensivist Group of Pennsylvania, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Philadelphia, PA
  • NPI 1609825801
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1760431209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WILLOW OAK LANE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "08062",
            "telephone_number": "856-220-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WILLOW OAK LANE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "08062",
            "telephone_number": "856-237-4126",
            "fax_number": "856-417-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENNETH",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "MB66187",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB06618700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Putira Peter Siv, PT, DPT
• Katerina Eleni Skedros
• Connor Skilton
• Katherine Skinner, ATC
• Corey Smigiel, DMD
• Kevin P Smith, D.C.
• Steven A. Sonsini, MSPT
• South Jersey Foot and Ankle Institute
• South Jersey Healthcare
• South Jersey Healthcare

• Anesthesiology Physician in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.