Provider Demographics
NPI:1053374793
Name:OHRI, SMITA (MD)
Entity type:Individual
Prefix:DR
First Name:SMITA
Middle Name:
Last Name:OHRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SMITA
Other - Middle Name:
Other - Last Name:ARORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:152 SNYDER AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1101
Mailing Address - Country:US
Mailing Address - Phone:908-255-9840
Mailing Address - Fax:
Practice Address - Street 1:152 SNYDER AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1101
Practice Address - Country:US
Practice Address - Phone:908-255-9840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065586L207Q00000X
NJ25MA07326100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA8900105Medicaid
NJG78018Medicare UPIN
PAG78018Medicare UPIN
PA8900105Medicaid