DR. JONATHAN SMITH (NPI# 1912994740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912994740 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN SMITH |
| Credential | M.D. |
| Practice Address |
20 Franklin Tpke Waldwick NJ 07463-1749 |
| Practice Telephone | 2014458822 |
| Practice Fax Number | 2014477058 |
| Mailing Telephone | 2014458822 |
| Mailing Fax Number | 2014477058 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2008-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA04967700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0943002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912208 | Jonathan Smith | Counselor | 4711 Hickory Bend Dr Nw, Acworth, GA 30102-6340 | 2020-04-27 |
| 1316575657 | Jonathan Colby Smith | Student in an Organized Health Care Education/Training Program | 4301 W Markham, Slot 602, Little Rock, AR 72205-7101 | 2020-03-31 |
| 1215401112 | Jonathan Lang Smith | Nutritionist | 4112 Shirley Dr, Memphis, TN 38109-4600 | 2019-01-15 |
| 1043795453 | Jonathan Lamont Smith | Student in an Organized Health Care Education/Training Program | 591 N. Shaw Ln., East Shaw Hall E155, East Lansing, MI 48825 | 2018-10-02 |
| 1811402951 | Jonathan Rowland Smith | Physician Assistant | 322 Mulberry St Sw Ste C, Lenoir, NC 28645-5703 | 2017-12-12 |
| 1679005698 | Jonathan Smith | Counselor | 360 Grant Ave, Columbus, OH 43209 | 2017-03-29 |
| 1669867115 | Jonathan Isaiah Smith | Student in an Organized Health Care Education/Training Program | 17234 Valley Boulevard, Fontana, CA 92335 | 2015-04-01 |
| 1942600861 | Jonathan Craig Smith | Specialist/Technologist | 1435 Village Dr Dept 2801, Ogden, UT 84408-2801 | 2014-08-27 |
| 1679911606 | Jonathan S Smith | Dentist | 720 S Leeds Ave, Mobile, AL 36612-1946 | 2013-06-12 |
| 1730322611 | Jonathan Eric Smith | Counselor | 1664 Chestwood Dr, Virginia Beach, VA 23453-7064 | 2009-04-08 |
| Street Address |
20 FRANKLIN TPKE |
| City | WALDWICK |
| State | NJ |
| Zip Code | 07463-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336136662 | Radiology Associates of Ridgewood, Pa | Clinic/Center | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2005-10-03 |
| 1811335524 | Catherine Jane Wei | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463 | 2013-06-05 |
| 1124325105 | Precision Upper Cervical Pa | Chiropractor | 20 Franklin Tpke, Suite 218, Waldwick, NJ 07463-1749 | 2011-02-28 |
| 1619282688 | Robert Bello Bello | Chiropractor | 20 Franklin Tpke, Suite 218, Waldwick, NJ 07463-1749 | 2010-08-13 |
| 1730331059 | Jennifer Koo | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2008-10-17 |
| 1588869655 | Scott David Degregorio | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2007-06-19 |
| 1972512754 | Keith F Dockery | Nuclear Medicine | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2006-08-07 |
| 1144242355 | Jill Robin Zimmerman | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2006-07-24 |
| 1609891878 | Dawn E. Lazarus-wolpov | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463 | 2006-07-12 |
| 1134152390 | Kyung-hwa Rhee | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104384460 | Life Opportunities Unlimited | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Cleveland Ave, Waldwick, NJ 07463 | 2019-03-06 |
| 1285105403 | Kristen Marie Forman | Social Worker | The Koch Center, P.C., 71 Franklin Tpke, Ste. 8, Waldwick, NJ 07463 | 2018-12-16 |
| 1083123970 | Emily Navarro | Dietitian, Registered | 26 Cleveland Ave, Waldwick, NJ 07463 | 2017-09-24 |
| 1760916340 | Sensory Taekwondo of Waldwick | Behavioral Analyst | 140 Hopper Ave, Waldwick, NJ 07463 | 2017-04-20 |
| 1205291176 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Wyckoff Avenue, Waldwick, NJ 07463 | 2015-12-21 |
| 1225456593 | Mina Hanna | Podiatrist | 171 Franklin Tpke Ste 200, Waldwick, NJ 07463 | 2014-04-02 |
| 1811282569 | Marion Elaine Troise | Massage Therapist | 3-4 Vernon Ct., Waldwick, NJ 07463 | 2011-06-10 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1326223777 | Raymond M Younghans | Physical Therapist | 136 Hopper Avenue, Waldwick, NJ 07463 | 2008-01-04 |
| 1841412228 | Armi Aura D Hernandez | Physical Therapist | 171 North Franklin Tpke., Waldwick, NJ 07463 | 2007-05-03 |
| Find all providers in zip 07463 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811335524 | Catherine Jane Wei | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463 | 2013-06-05 |
| 1730331059 | Jennifer Koo | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2008-10-17 |
| 1588869655 | Scott David Degregorio | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2007-06-19 |
| 1144242355 | Jill Robin Zimmerman | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2006-07-24 |
| 1609891878 | Dawn E. Lazarus-wolpov | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463 | 2006-07-12 |
| 1134152390 | Kyung-hwa Rhee | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2006-07-09 |
| 1518927227 | Erwin Lin | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2006-03-25 |
| 1093702821 | Philip A. Sorabella | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2005-10-06 |
| 1356338180 | Glenn Krinsky | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2005-10-06 |
| 1497742217 | Louis E. Rambler | Radiology | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2005-10-06 |
| Find all providers in WALDWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.