Individual provider Active NPI

Jonathan Smith, MA PD LMFT

  • Marriage & Family Therapist
  • Oradell, NJ
National Provider Identifier
1881057404
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00176001 Issued in NJ
Practice address
800 Kinderkamack Rd Ste 201S
Oradell, NJ 07649-1591
Phone
(201) 266-0668
NPI assigned
Mar 31, 2016
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00176001 NJ Primary

Addresses

Primary practice location

800 Kinderkamack Rd Ste 201S
Oradell, NJ 07649-1591

Mailing address

800 Kinderkamack Rd Ste 201S
Oradell, NJ 07649-1591
Phone (201) 266-0668

Other practice location 1

16 Chestnut St
#201 Ste 2
Emerson, NJ 07630-1174
Phone (201) 266-0668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37FI00176001NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkitout CurrentSince Jun 2, 2024 Accepting new patients
The Center for Family Wellness PastSince Sep 17, 2023 Accepting new patients

Locations

800 Kinderkamack Rd
Ste 201S
Oradell, NJ 07649
Phone (201) 266-0668

Organizations & group practices 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1881057404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KINDERKAMACK RD STE 201S",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491591",
            "telephone_number": "201-266-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KINDERKAMACK RD STE 201S",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491591",
            "telephone_number": "201-266-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Chestnut St",
            "address_2": "#201 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Emerson",
            "state": "NJ",
            "postal_code": "076301174",
            "country_code": "US",
            "telephone_number": "201-266-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "credential": "MA PD LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00176001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.