DR. STEPHEN SMITH (NPI# 1104875814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104875814 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN SMITH |
| Credential | MD |
| Practice Address |
189 Eagle Rock Ave Roseland NJ 07068-1347 |
| Mailing Address |
Po Box 54 Roseland NJ 07068-0054 |
| Practice Telephone | 9739800195 |
| Practice Fax Number | 9737741920 |
| Mailing Telephone | 9739800195 |
| Mailing Fax Number | 9737741920 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MA06023600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MA060236 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8420301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1346807583 | Stephen Lee Smith | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7776, San Antonio, TX 78229-3901 | 2019-05-23 |
| 1295295509 | Stephen Douglas Smith | Counselor | 2591 Parkcrest Way, Roseville, CA 95747-7140 | 2019-03-22 |
| 1275025041 | Stephen C Smith | Student in an Organized Health Care Education/Training Program | 220 Rowan Blvd Apt 630, Glassboro, NJ 08028-2275 | 2018-06-06 |
| 1437653706 | Stephen Michael Smith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2018-03-21 |
| 1659809028 | Stephen Jerome Smith | Emergency Medical Technician, Basic | 1826 W Mcdowell Rd, Phoenix, AZ 85007-1612 | 2017-05-30 |
| 1386019867 | Stephen William Smith | Psychologist | 2312 Plantation Dr, Virginia Beach, VA 23454-2739 | 2015-12-09 |
| 1548666068 | Stephen Smith | Massage Therapist | 626 E 4th St, Tonganoxie, KS 66086-9219 | 2014-11-11 |
| 1588067706 | Stephen Patrick Smith | Optometrist | 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 | 2014-10-01 |
| 1942600044 | Stephen Smith | Student in an Organized Health Care Education/Training Program | 6504 Walnut Park Dr, Philadelphia, PA 19120-1032 | 2014-08-26 |
| Street Address |
189 EAGLE ROCK AVE |
| City | ROSELAND |
| State | NJ |
| Zip Code | 07068-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073077939 | Daniel Alexander Maddock | Physician Assistant | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 2019-01-24 |
| 1134697865 | Kathy Chao | Physician Assistant | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 2018-11-12 |
| 1861885964 | Julie Ann Egan | Nurse Practitioner | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 2015-03-12 |
| 1679836985 | Richard Louis Raptopoulos | Nurse Practitioner | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 2012-06-21 |
| 1437467990 | Sarah Warren Fenton | Physician Assistant | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 2010-09-17 |
| 1932252038 | Infectious Disease Associates | Internal Medicine | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 2007-01-19 |
| 1699711762 | Infectious Disease Specialists LLC | Specialist | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496845 | Dheeraj Muddasani | Student in an Organized Health Care Education/Training Program | 43 Barretta Ct, Roseland, NJ 07068 | 2018-05-07 |
| 1477094472 | Shp V Roseland, LLC | Alzheimer Center (Dementia Center) | 345 Eagle Rock Avenue, Roseland, NJ 07068 | 2017-03-10 |
| 1699103663 | Jennifer Karen Lenci | Social Worker | 204 Eagle Rock Ave., Roseland, NJ 07068 | 2013-10-29 |
| 1083768469 | Elaine C Terry Garrod | Psychologist | 38 Roseland Avenue, Roseland, NJ 07068 | 2007-01-22 |
| 1750453833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 45 Eisenhower Pkwy, Roseland, NJ 07068 | 2006-11-14 |
| 1821184417 | Jami Marie Messina | Psychologist | 157 Eagle Roack Avenue, Roseland, NJ 07068 | 2006-10-04 |
| 1578663514 | Florinda R Mangahas | General Practice | 73 Monroe Ave, Roseland, NJ 07068 | 2006-09-22 |
| 1770687071 | Anthony Origlieri | Ophthalmology | 180 Harrison Ave, Roseland, NJ 07068 | 2006-09-08 |
| 1780620682 | Sami M Mamoun | Surgery | 204 Eagle Rock Avenue, Roseland, NJ 07068 | 2006-06-21 |
| 1033179403 | John Vicchio | Physical Therapist | 10 Eisenhower Parkway, Roseland, NJ 07068 | 2006-03-28 |
| Find all providers in zip 07068 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932252038 | Infectious Disease Associates | Internal Medicine | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224018 | Bergen Infectious Diseases Associates Inc | Internal Medicine | 185 Cedar Ln Ste U8, Teaneck, NJ 07666-4303 | 2019-06-17 |
| 1326604943 | Malik Medical Associates Usa Inc | Internal Medicine | 377 Jersey Ave Ste No410, Jersey City, NJ 07302-4393 | 2019-05-20 |
| 1134626815 | Hackensack Infectious Disease Associates, LLC | Internal Medicine | 311 S Irving St, Ridgewood, NJ 07450-5101 | 2018-04-10 |
| 1285146845 | Dr Pooja P Shah Mdpc Inc | Internal Medicine | 1964 Oak Tree Rd Ste B, Edison, NJ 08820-2016 | 2017-11-03 |
| 1740704931 | Divine Care LLC | Internal Medicine | 37 Van Zandt Rd, Skillman, NJ 08558-2100 | 2017-07-28 |
| 1073922324 | Ahmed Abdul Azim | Internal Medicine | 125 Paterson St, Meb 362, New Brunswick, NJ 08901-1962 | 2014-08-11 |
| 1437566205 | Uchenna Okereke | Internal Medicine | 93 Clerk St, Jersey City, NJ 07305-4323 | 2014-07-14 |
| 1487069167 | Mark Dinubile | Internal Medicine | 505 Bartram Rd, Moorestown, NJ 08057-1833 | 2014-06-21 |
| 1275964371 | Anand Athavale | Internal Medicine | 127 Old Short Hills Rd, Apt 236, West Orange, NJ 07052-1014 | 2013-11-28 |
| 1003158247 | Joseph L Derose | Internal Medicine | 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012-2056 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.