Kelsy M Smith

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

310 Cedar LN Ste 3B
Teaneck, NJ 07666-3441

Phone

(201) 541-8600

NPI assigned

Aug 31, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1992613756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 KENWOOD PL",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661650",
            "telephone_number": "201-779-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CEDAR LN STE 3B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663441",
            "telephone_number": "201-541-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Alan Sklover, DMD
• Ava Sloboda
• Cheryl Small
• Sarah Small, OTR/L
• Daniel H. Smith, M.D.
• Tammy Michelle Smith, LCSW
• SNH Teaneck Tenant LLC
• Aliza Sokel, LCSW
• Solomon Aluko
• Mee So Son, PHARM D.

• Student in an Organized Health Care Education/Training Program in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.