Jacqueline Smith, Md Pc

LBN: Jacqueline Smith, Md Pc
Jacqueline Smith, Md Pc is an health care organization with primary practice located at 716 Broad St Suite 2A, Clifton NJ 07013-1645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Jacqueline Smith, Md Pc can be contacted via phone (973) 221-3122, or through Acevedo, Cynthia via phone (973) 928-3341.

Contact Information

Primary practice address
716 Broad St Suite 2A Clifton NJ 07013-1645
Fax: (973) 710-0620
Website:
Authorized official contact:
Name: Acevedo, Cynthia

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA09182300 New Jersey

Profile Details

NPI number 1790116374
LBN Legal business name Jacqueline Smith, Md Pc
DBA Doing business as
Authorized official Acevedo, Cynthia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2013
Last updated Dec 6th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790116374 NPPES
New Jersey MEDICAID 0310981

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