Smith, John Joseph

Smith, John Joseph is an individual health care provider with primary practice located at 946 Avenue C , Bayonne NJ 07002-3026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, John Joseph can be contacted via phone (201) 339-2300.

Contact Information

Primary practice address
946 Avenue C Bayonne NJ 07002-3026
Fax: (201) 339-9922
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA66625 New Jersey

Profile Details

NPI number 1912968306
LBN Legal business name Smith, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 26th, 2014 - about 10 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 1912968306 NPPES
New Jersey MEDICAID 4751701

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