JOHN P SMITH DO
NPI 1043389869
Internal Medicine - Cardiovascular Disease in Fairlawn, NJ

Active since November 07, 2006PECOS Enrolled
1501 BROADWAY, SUITE 4, FAIRLAWN, NJ 07410(201) 794-6505(201) 794-1167 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John P Smith Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN P SMITH DO (NPI 1043389869) is an individual cardiovascular disease provider in Fairlawn, New Jersey, licensed in New Jersey (029040) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1973).

NPPES Registry Identity

NPI1043389869
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN P SMITHCredential: DO
Location Address1501 BROADWAY, SUITE 4Fairlawn, NJ 07410
Mailing Address1501 Broadway, Suite 4Fairlawn, NJ 07410 · (201) 794-6505 · Fax (201) 794-1167
Fax(201) 794-1167
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1973
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 1, 2010
NPI 1043389869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 029040
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1501 BROADWAY, Fairlawn, NJ 07410

Other Identifiers 3

Medicare UPIND79171
Medicaid0465607NJ
Medicare ID-Type UnspecifiedSM45780Z

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John P Smith Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436102837
PECOS Enrollment IDI20050225000236
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
36 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1501 BROADWAY, SUITE 32
FAIR LAWN, NJ 07410
Radiology (Vascular & Interventional Radiology)
1501 BROADWAY, SUITE 1
FAIR LAWN, NJ 07410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Smith's NPI number?

The NPI number for John Smith is 1043389869. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is John Smith located?

John Smith practices at 1501 Broadway Suite 4, Fairlawn, NJ 07410. The listed phone number is (201) 794-6505.

What is John Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Smith enrolled in Medicare?

Yes. John Smith is registered in the Medicare PECOS enrollment system.

What insurance does John Smith accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list John Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Smith was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.