Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Justin Kerry Smith

Individual provider Anesthesiology Physician · NPI 1609295187

Justin Kerry Smith practises Anesthesiology in Ridgewood, New Jersey. Qualified in 2014, 12 years ago. Practices with Bergen Anesthesia Group, PC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2014

Practice location Address checks out

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone: (201) 847-9320
Fax: (201) 847-0059
Show map & directions

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

Additional practice locations (1)

  • Department Of Anesthesiology Suny At Stony Brk, Stony Brook, NY 11794-8480 — (631) 444-2975

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA10297300 (NJ)

Record details

NPI number1609295187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESApril 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Bergen Anesthesia Group, P.C. — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients256
Services billed 285 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Bergen Anesthesia Group, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 63 clinicians in the practice; 12 are shown here.

Other providers in Ridgewood