Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Smc Med PA

Organization Neurological Surgery Physician · NPI 1457611675

Smc Med PA is a Neurological Surgery Physician in Great Meadows, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

61 Marble Hill Rd
Great Meadows, NJ 07838-2314
Phone: (201) 804-2800
Fax: (201) 804-8883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 25MA05562800 (NJ)

Record details

NPI number1457611675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Dierlam — Director · (908) 268-2754
NPI enumeratedMay 22, 2012
Last updated in NPPESMay 30, 2012
Mailing addressPo Pox 147, Vienna, NJ 07880