John P Smith (NPI# 1043389869, PAC ID# 9436102837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1043389869 |
| PAC ID by PECOS | 9436102837 |
| Professional Enrollment ID | I20050225000236 |
| Full Name | John P Smith |
| Address |
15 -01 Broadway Suite 4 Fair Lawn NJ 07410-6018 |
| Phone Number | 2017946505 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310012 | VALLEY HOSPITAL |
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| 310006 | ST MARY'S GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15 -01 Broadway, Suite 4, Fair Lawn, NJ 07410-6018 | 2017946505 |
| Street Address |
15 -01 BROADWAY SUITE 4 |
| City | FAIR LAWN |
| State | NJ |
| Zip | 07410-6018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ritesh Kalra | Internal Medicine | 15 -01 Broadway, Suite 8, Fair Lawn, NJ 07410-6018 | |
| Ramesh C Gupta | Gastroenterology | 15 -01 Broadway, Suite 28, Fair Lawn, NJ 07410-6018 | |
| Barry A Jansen | Podiatry | 15 -01 Broadway, Suite 11, Fair Lawn, NJ 07410-6018 | |
| James M Katz | Dermatology | 15 -01 Broadway, Suite 10b, Fair Lawn, NJ 07410-6006 | |
| Olga V Lishko | Internal Medicine | 15 -01 Broadway, Suite 23, Fair Lawn, NJ 07410-6018 | |
| Eshansh Arora | Oral Surgery | 15 -01 Broadway, Suite 18, Fair Lawn, NJ 07410-6018 | |
| Preethi Venugopal Ramaswamy | Dermatology | 15 -01 Broadway, Suite 38, Fair Lawn, NJ 07410-6026 | |
| Kuchipudi Bapineedu | General Surgery | 15 -01 Broadway, Suite 22, Fair Lawn, NJ 07410-6006 | |
| Wendy Nach | Podiatry | 15 -01 Broadway, 30c, Fair Lawn, NJ 07410-6026 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Balch | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Rachel Trotter | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Pamela Joyce Ritzler | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Igor Gefter | Psychiatry | 12 -71, Fair Lawn, NJ 07410-1104 | |
| Michael Sherman | Chiropractic | 6 -15 Morlot Ave, Fair Lawn, NJ 07410-1421 | |
| Jeanine E Graves | Optometry | 11 -11 River Rd, Fair Lawn, NJ 07410-1463 | |
| Tahira M Bokhari | Allergy/immunology | 1715 Maple Ave, Fairlawn, NJ 07410-1523 | |
| Michael D Ryan | Physical Therapy | Dmr Rehabilitation | 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552 |
| Jerome I Barr | Rheumatology | 17 -15 Maple Ave, Suite 2, Fair Lawn, NJ 07410-1552 | |
| Daniel T Ryan | Physical Therapy | Dmr Rehabilitation | 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552 |
| Find all physicians in zip 07410 | |||
| City | FAIR LAWN |
| Zip Code | 07410 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FAIR LAWN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.