MR. ROBERT A SMITH LCADC
NPI 1396092169
Counselor - Addiction (Substance Use Disorder) in Jersey City, NJ
Active since August 10, 2012
450 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07304(201) 200-1965(201) 200-1826 Get Directions Write a Review
About Mr. Robert A Smith Lcadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ROBERT A SMITH LCADC (NPI 1396092169) is an individual addiction (substance use disorder) provider in Jersey City, New Jersey, licensed in New Jersey (37LC00122100) and active in the NPI registry since August 2012.
NPPES Registry Identity
NPI1396092169
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ROBERT A SMITHCredential: LCADC
Location Address450 MARTIN LUTHER KING JR DRJersey City, NJ 07304-4218
Mailing Address75 Prospect StEast Orange, NJ 07017-1922 · (973) 207-9690
Phone(201) 200-1965
Fax(201) 200-1826
Sole ProprietorNo
Enumeration DateAugust 10, 2012
✔ NPI 1396092169 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NJ · 37LC00122100
450 MARTIN LUTHER KING JR DR, Jersey City, NJ 07304
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396092169, enumerated as an "individual" on August 10, 2012.
The provider is located at 450 MARTIN LUTHER KING JR DR JERSEY CITY, NJ 07304 and the phone number is (201) 200-1965.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
