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

Justin Kerry Smith

Individual provider Anesthesiology Physician · NPI 1609295187

Justin Kerry Smith is an 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
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Practice location Address checks out

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone: (201) 847-9320
Fax: (201) 847-0059
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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
Mailing addressPo Box 630, Franklin Lakes, NJ 07417-0630

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

Other providers in Ridgewood