Active NPIIndividual provider

Mr. Robert A Smith, LCADC

Counselor, Addiction (Substance Use Disorder) in Jersey City, New Jersey

NPI Number1396092169
Practice location
450 Martin Luther King Jr Dr, Jersey City, NJ 07304-4218
Fax
201-200-1826
Last updated
August 10, 2012

Robert A Smith is a Counselor, Addiction (Substance Use Disorder) based in Jersey City, NJ. Robert A Smith practices in Jersey City, NJ and has the professional credentials of LCADC. The NPI Number for Robert A Smith is 1396092169 and holds a License No. 37LC00122100 (NJ). The current practice location address for Robert A Smith is 450 Martin Luther King Jr Dr, Jersey City, NJ 07304-4218 and can be reached out via phone at 201-200-1965 and via fax at 201-200-1826.

Provider Profile Details

NPI Number
1396092169
Provider Name
Robert A Smith
Credential
LCADC
Provider Entity Type
Individual
Gender
Male
Address
450 Martin Luther King Jr Dr, Jersey City, NJ 07304-4218
Phone Number
201-200-1965
Fax Number
201-200-1826
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
August 10, 2012
Last Update Date
August 10, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Martin Luther King Jr Dr
Jersey City, NJ 07304-4218
Zip
07304-4218
Phone Number
201-200-1965
Fax Number
201-200-1826
Jersey City, NJ 07304Get directions →

Provider Business Mailing Address Details

Address
75 Prospect St
East Orange, NJ 07017-1922
City
East Orange
State
NJ
Zip
07017-1922
Phone Number
973-207-9690

License Information

License Number
37LC00122100
License State
NJ
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Mr. Robert A Smith, LCADC?

The NPI number of Mr. Robert A Smith, LCADC is 1396092169. It was assigned on August 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Robert A Smith, LCADC?

Mr. Robert A Smith, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00122100.

Where does Mr. Robert A Smith, LCADC practice?

The practice location is 450 Martin Luther King Jr Dr, Jersey City, NJ 07304-4218. The office can be reached at 201-200-1965 (phone) or 201-200-1826 (fax).

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 1396092169 directly on the NPPES registry website.

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