| Organization Name: | SMART CARE PEDIATRICS PC |
| NPI Number: | 1033532205 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN KIM (BILLER) |
| Mailing Address: | 1640 Schlosser St Suite C-3 Fort Lee |
| State: | NJ US |
| Postal Code: | 070245656 |
| Phone Number: | 2014466701 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2014 |
| NPI Last Update Date: | 01/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 25MA085322100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |