Individual provider Active NPI

David J Smith, MD

  • Ophthalmology Physician
  • Ventnor City, NJ
National Provider Identifier
1912085465
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA02945300 Issued in NJ
Practice address
4807 Atlantic Ave
Ventnor City, NJ 08406-3055
Phone
(609) 823-8488
Fax
(609) 823-1787
NPI assigned
Nov 1, 2006
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD015011E PA
Ophthalmology Physician 207W00000X 25MA02945300 NJ Primary

Addresses

Primary practice location

4807 Atlantic Ave
Ventnor City, NJ 08406-3055

Mailing address

4807 Atlantic Ave
Ventnor City, NJ 08406-3055
Phone (609) 823-8488

Other identifiers 1

IdentifierTypeStateIssuer
1464001MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090216000158 NJ Practitioner - Ophthalmology 9830254440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David J Smith MD PAGroup PAC ID 8426111899, 3 clinicians

Practice addresses (Care Compare)

4807 Atlantic Ave
Suite 1
Ventnor City, NJ 08406-3055
Phone (609) 823-8488

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA02945300NJMDOphthalmology Physician
MD015011EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David J Smith MD PA Ophthalmology CurrentSince Sep 11, 1989 Accepting new patients

Locations

4 E Jimmie Leeds Rd
Ste 2
Galloway, NJ 08205
Phone (609) 652-6100

4807 Atlantic Ave
Ste 1
Ventnor City, NJ 08406
Phone (609) 823-8488

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1912085465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 ATLANTIC AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084063055",
            "telephone_number": "609-823-8488",
            "fax_number": "609-823-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 ATLANTIC AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084063055",
            "telephone_number": "609-823-8488",
            "fax_number": "609-823-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD015011E",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02945300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

Verify at the official NPI Registry.