Jacqueline Smith (NPI# 1255643615, PAC ID# 1052672888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1255643615 |
| PAC ID by PECOS | 1052672888 |
| Professional Enrollment ID | I20180219001596 |
| Full Name | Jacqueline Smith |
| Organization Legal Name | CHARLES G HADDAD MD |
| Address |
1033 Route 46 E Suite 102 Clifton NJ 07013-2448 |
| Phone Number | 9737797979 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7911229240 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1033 Route 46 E, Suite 102, Clifton, NJ 07013-2448 | 9737797979 | CHARLES G HADDAD MD |
| Organization Legal Name | CHARLES G HADDAD MD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nyota A Peace | Obstetrics/gynecology | Charles G Haddad Md | 1033 Route 46 E, Suite 102, Clifton, NJ 07013-2448 |
| Elina Berkovsky | Physician Assistant | Charles G Haddad Md | 1033 Route 46 E, Suite 102, Clifton, NJ 07013-2448 |
| Charles G Haddad | Obstetrics/gynecology | Charles G Haddad Md | 1033 Route 46 E, Suite 102, Clifton, NJ 07013-2448 |
| Street Address |
1033 ROUTE 46 E SUITE 102 |
| City | CLIFTON |
| State | NJ |
| Zip | 07013-2448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nyota A Peace | Obstetrics/gynecology | Charles G Haddad Md | 1033 Route 46 E, Suite 102, Clifton, NJ 07013-2448 |
| Elina Berkovsky | Physician Assistant | Charles G Haddad Md | 1033 Route 46 E, Suite 102, Clifton, NJ 07013-2448 |
| Maged Boutros | Internal Medicine | 1033 Route 46 E, Suite G3, Clifton, NJ 07013-2448 | |
| Charles G Haddad | Obstetrics/gynecology | Charles G Haddad Md | 1033 Route 46 E, Suite 102, Clifton, NJ 07013-2448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Mazie | Optometry | 1020 Route 46 W, Clifton, NJ 07013 | |
| Michael S Abrams | Psychologist, Clinical | 120 Mountain Park Rd, Clifton, NJ 07013-1152 | |
| Lidia Dengelegi Abrams | Psychologist, Clinical | 120 Mountain Park Rd, Clifton, NJ 07013-1152 | |
| Melchiorre J Russo | Internal Medicine | 128 Valley Rd, Clifton, NJ 07013-1169 | |
| Vincent Malba | Chiropractic | 248 Edison St, Clifton, NJ 07013-1358 | |
| Guity Fazelpoor | Psychologist, Clinical | 246 Edison St, Cliffton, NJ 07013-1358 | |
| Claire Vernaleken | Psychologist, Clinical | 246 Edison St, Cliffton, NJ 07013-1358 | |
| Jeffrey F Lakin | Orthopedic Surgery | 642 Broad St, Suite 4, Clifton, NJ 07013-1615 | |
| Ora Limor | Psychologist, Clinical | 642 Broad St, Lowr Level, Clifton, NJ 07013-1615 | |
| Richards A Afonja | Hematology/oncology | 476 Colfax Ave, Clifton, NJ 07013-1624 | |
| Find all physicians in zip 07013 | |||
| City | CLIFTON |
| Zip Code | 07013 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CLIFTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jacqueline Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.