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

Mr. Steven Andrew Smith, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1063757284

Mr. Steven Andrew Smith, NURSEPRACTITIONER is a Nurse Practitioner in Marlboro, New Jersey. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2012
Specialties on file
4

Practice location Address checks out

40 Moore Rd
Marlboro, NJ 07746-2103
Phone: (718) 986-2635
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 347221 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 26NR22681000 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 653735 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ01244500 (NJ)

Record details

NPI number1063757284
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedNovember 28, 2012
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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