John Joseph Smith, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA66625 Issued in NJ

Practice address

946 Avenue C
Bayonne, NJ 07002-3026

Phone

(201) 339-2300

Fax

(201) 339-9922

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• NJ Pain Rehabilitation Group, PC

  • Family Medicine Physician
  • Bayonne, NJ
  • NPI 1023281284
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1912968306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023026",
            "telephone_number": "201-339-2300",
            "fax_number": "201-339-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023026",
            "telephone_number": "201-339-2300",
            "fax_number": "201-339-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA66625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4751701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gifty Ansu Simon
• Thomas Ernst Simpson, M.D.,F.A.C.S.
• Samantha N Singh, NURSE PRACTITIONER
• Syed K. Sirajuddin, MD
• Jeffrey Sklar, M.D.
• Josephine Apokumah Smith
• Peter L Smith, M.D.
• Jessica Soffer, PHARMD
• Ayman Sokar, PHARMD
• Solcare Occupational Therapy

• Internal Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.