JUSTIN KERRY SMITH
NPI 1609295187
Anesthesiology in Ridgewood, NJ
About Justin Kerry Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN KERRY SMITH (NPI 1609295187) is an individual anesthesiology provider in Ridgewood, New Jersey, licensed in New Jersey (25MA10297300) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains a secondary practice location in Stony Brook.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Justin Kerry Smith 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.
Medicare Billing Reassignments
2Medicare enrollment records show Justin Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ridgewood, NJ 07450
- Reassigned Medicare billing, New Jersey enrollment
- 77 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 833 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Valley Hospital
Acute Care Hospitals · Paramus, NJMedicare 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGEWOOD, NJ 07450
RIDGEWOOD, NJ 07450
RIDGEWOOD, NJ 07450
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 Justin Smith's NPI number?
The NPI number for Justin Smith is 1609295187. It was assigned to this individual provider in the NPPES registry on April 10, 2014.
Where is Justin Smith located?
Justin Smith practices at 223 N Van Dien Ave, Ridgewood, NJ 07450. The listed phone number is (201) 847-9320.
What is Justin Smith's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Justin Smith enrolled in Medicare?
Yes. Justin Smith 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 Justin Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Smith reassigns Medicare benefits to 2 organizations: Bergen Anesthesia Group, P.C. (Ridgewood, NJ) and Valley Physician Services PC (Paramus, NJ). 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 Justin Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justin Smith affiliated with any hospitals?
According to CMS data, Justin Smith is affiliated with Valley Hospital.
When was this NPI record last updated?
The NPPES record for Justin Smith was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Justin Kerry Smith · NPI 1609295187
Anesthesiology physician in Ridgewood, New Jersey. Individual provider, active in the CMS NPPES registry since April 10, 2014.
## Identity
- **NPI:** 1609295187 (Entity type: Individual)
- **Enumerated:** April 10, 2014
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 25MA10297300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 223 N VAN DIEN AVE, Ridgewood, NJ 07450-2726
- **Phone:** (201) 847-9320 · **Fax:** (201) 847-0059
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bergen Anesthesia Group, P.C. (NPI 1194816249, Ridgewood, NJ); Valley Physician Services PC (NPI 1467815928, Paramus, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1609295187) · Data from the CMS NPPES public registry.