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MR. JOSEPH SMOTKIN MD
NPI 1376504415
Internal Medicine in Fair Lawn, NJ

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
6-05 SADDLE RIVER RD # 138, FAIR LAWN, NJ 07410(201) 787-7108 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2025, Aug 2, 2024 (2 updates tracked since 2024).

About Mr. Joseph Smotkin Md NPPES

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

MR. JOSEPH SMOTKIN MD (NPI 1376504415) is an individual internal medicine provider in Fair Lawn, New Jersey, licensed in New Jersey (25MA07764200) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1376504415
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JOSEPH SMOTKINCredential: MD
Location Address6-05 SADDLE RIVER RD # 138Fair Lawn, NJ 07410-5610
Mailing Address6-05 Saddle River Rd # 138Fair Lawn, NJ 07410-5610 · (201) 787-7108
Phone(201) 787-7108
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 29, 2006
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1376504415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA07764200
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 60 246381 (NY), LT2566 (NH)
6-05 SADDLE RIVER RD # 138, Fair Lawn, NJ 07410
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Other Identifiers 4

Other020470410NH · Tax Id
Medicaid30206961NH
Medicaid432640099ME
Other000241301NH · Medicare Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Joseph Smotkin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860440435
PECOS Enrollment IDI20151015000437
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joseph Smotkin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician First LLC
52 mi
Clinic/Center
28 WASHINGTON ST
Columbia, NJ 07832
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1457181513 (201) 787-7108
Pennsylvania Hm Associates PC
57 mi
Hospitalist
206 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 103 clinicians in this Medicare group
NPI 1841637865 (570) 421-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
211 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
183 services124 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
128 services78 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
47 services41 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
27 services27 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%85 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$89.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Joseph Smotkin's NPI number?

The NPI number for Joseph Smotkin is 1376504415. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Joseph Smotkin located?

Joseph Smotkin practices at 6-05 Saddle River Rd # 138, Fair Lawn, NJ 07410. The listed phone number is (201) 787-7108.

What is Joseph Smotkin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Smotkin enrolled in Medicare?

Yes. Joseph Smotkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joseph Smotkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Smotkin reassigns Medicare benefits to 2 organizations: Physician First LLC (Columbia, NJ) and Pennsylvania Hm Associates PC (East Stroudsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Smotkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Smotkin accept?

Health plans from Oscar Health list Joseph Smotkin 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.

Is Joseph Smotkin affiliated with any hospitals?

According to CMS data, Joseph Smotkin is affiliated with Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Joseph Smotkin was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.