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

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