Provider Demographics
NPI:1679383582
Name:SMOMEDICAL LLC
Entity type:Organization
Organization Name:SMOMEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADI
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-656-7079
Mailing Address - Street 1:86 HANCE RD
Mailing Address - Street 2:
Mailing Address - City:FAIR HAVEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07704-3210
Mailing Address - Country:US
Mailing Address - Phone:917-656-7079
Mailing Address - Fax:
Practice Address - Street 1:39 SYCAMORE AVE # A202
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1208
Practice Address - Country:US
Practice Address - Phone:732-977-0941
Practice Address - Fax:888-498-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty