Smith, Jason D

Smith, Jason D is an individual health care provider with primary practice located at 3674 Route 27, Princeton Radiology Associates, P.A. Department B, Kendall Park NJ 08824. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Smith, Jason D can be contacted via phone (732) 821-5563.

Contact Information

Primary practice address
3674 Route 27, Princeton Radiology Associates, P.A. Department B Kendall Park NJ 08824
Phone: (732) 821-5563
Fax: (732) 821-6675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00070100 New Jersey

Profile Details

NPI number 1497831465
LBN Legal business name Smith, Jason D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 20th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497831465 NPPES
New Jersey Other 26NO11579400 REGISTERED PROF NURSE
New Jersey Other 26NJ00070100 REGISTERED PROF NURSE

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