LEON G. SMITH JR. MD, LLC (NPI# 1780890814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780890814 |
| Entity Type | Organization |
| Organization Name | LEON G. SMITH JR. MD, LLC |
| Practice Address |
155 Jefferson St Newark NJ 07105-1706 |
| Mailing Address |
171 Old Chester Rd Essex Fells NJ 07021-1624 |
| Practice Telephone | 9734031922 |
| Practice Fax Number | 9734031912 |
| Mailing Telephone | 9734031922 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-09-28 |
| Authorized Official Name | LEON SMITH JR. (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 9734031922 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA05307800 | NJ | Other Service Providers |
| Street Address |
155 JEFFERSON ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260557 | Elm Street Hospital Physicians, P.a. | General Practice | 155 Jefferson St, Newark, NJ 07105-1706 | 2005-08-01 |
| 1316478399 | Fady Sorial | Pharmacist | 155 Jefferson St, Newark, NJ 07105-1706 | 2017-03-22 |
| 1588033641 | Pharmaceutical Prescription Service, LLC | Pharmacy | 155 Jefferson St, Newark, NJ 07105-1706 | 2015-09-18 |
| 1922371079 | Bell Med PC | Psychiatry & Neurology | 155 Jefferson St, 5th Floor, Newark, NJ 07039 | 2012-02-21 |
| 1740558832 | Saint Michael's Medical Center | Psychiatric Unit | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-12-05 |
| 1790081255 | Life At Saint Michael's Inc. | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-02-01 |
| 1336467539 | Belinda Luce Smith | Nurse Practitioner | 155 Jefferson St, 3rd Floor-newark Community Health Centers, Inc., Newark, NJ 07105-1706 | 2010-05-12 |
| 1093942153 | Newark Community Health Centers, Inc | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2009-06-16 |
| 1205030301 | Marcelo Esguerra Jr. | Physical Therapist | 155 Jefferson St, Newark, NJ 07105-1706 | 2007-06-13 |
| 1083782890 | Essex Ironbound Anesthesiologist, LLC | Anesthesiology | 155 Jefferson St, Newark, NJ 07105-1706 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426133 | Darrell Eugene Roberson | Specialist | 243 Halsey St Apt 5c, Newark, NJ 07102-3750 | 2017-06-09 |
| 1497109771 | Amy Karlyna Iturburo | Specialist | 452 Highland Ave, Newark, NJ 07104-1518 | 2016-04-22 |
| 1003213380 | Rachel Ann Gerber | Specialist | 119 Union Street, Newark, OH 43055 | 2014-12-02 |
| 1821425356 | Paige Thomasson | Specialist | 35 Edison Place #402, Newark, NJ 07102 | 2013-09-30 |
| 1538508221 | Sarah Diane Johnson | Specialist | 347 Lake St, Apt C5, Newark, NJ 07104-1223 | 2013-06-17 |
| 1326381575 | Cecilia Asare | Specialist | 30-32 Crawford St, 3floor, Newark, NJ 07102-1100 | 2013-04-05 |
| 1912216573 | Persante Sleep Care, Inc. | Specialist | One Centurian Drive Ste: 208, Abby Medical Center, Newark, DE 19713-2137 | 2010-09-30 |
| 1205165321 | James M Bastianelli | Specialist | 28 Dublin Dr, Newark, DE 19702-7708 | 2009-12-19 |
| 1932332848 | Alternative Therapy | Specialist | 4631 Ogletown Stanton Rd, Newark, DE 19713-2006 | 2009-08-25 |
| 1508005083 | Jodi Lynn Collins | Specialist | 202 N Bridlewood Dr, Newark, DE 19702-3418 | 2009-02-06 |
| Find all providers in NEWARK | ||||
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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.