Active NPIIndividual providerSole proprietor

Raquel M Smith, PTA

Physical Medicine & Rehabilitation in Jersey City, New Jersey

NPI Number1295464089
Practice location
83 Mallory Ave Apt 1L, Jersey City, NJ 07304-1064
Fax
—
Last updated
June 7, 2022

Raquel Marie Smith is a Physical Medicine & Rehabilitation based in Jersey City, NJ. Raquel Marie Smith practices in Jersey City, NJ and has the professional credentials of PTA. The NPI Number for Raquel Marie Smith is 1295464089 and holds a License No. 40qb00387800 (NJ). The current practice location address for Raquel Marie Smith is 83 Mallory Ave Apt 1L, Jersey City, NJ 07304-1064 and can be reached out via phone at 201-616-2276.

Provider Profile Details

NPI Number
1295464089
Provider Name
Raquel Marie Smith
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
83 Mallory Ave Apt 1L, Jersey City, NJ 07304-1064
Phone Number
201-616-2276
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 7, 2022
Last Update Date
June 7, 2022
Certification Date
January 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
83 Mallory Ave Apt 1L
Jersey City, NJ 07304-1064
Zip
07304-1064
Phone Number
201-616-2276
Jersey City, NJ 07304Get directions →

Provider Business Mailing Address Details

Address
83 Mallory Ave Apt 1L
Jersey City, NJ 07304-1064
City
Jersey City
State
NJ
Zip
07304-1064
Phone Number
201-616-2276

License Information

License Number
40qb00387800
License State
NJ
Taxonomy
Physical Medicine & Rehabilitation · 208100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Raquel M Smith, PTA?

The NPI number of Raquel M Smith, PTA is 1295464089. It was assigned on June 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Raquel M Smith, PTA?

Raquel M Smith, PTA is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 40qb00387800.

Where does Raquel M Smith, PTA practice?

The practice location is 83 Mallory Ave Apt 1L, Jersey City, NJ 07304-1064. The office can be reached at 201-616-2276 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295464089 directly on the NPPES registry website.

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