Provider Demographics
NPI:1295361939
Name:JOHN A SCHMIDT JR MD
Entity Type:Organization
Organization Name:JOHN A SCHMIDT JR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:732-282-8166
Mailing Address - Street 1:2006 HIGHWAY 71 STE 3
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-2283
Mailing Address - Country:US
Mailing Address - Phone:732-282-8166
Mailing Address - Fax:732-280-0147
Practice Address - Street 1:2006 HIGHWAY 71 STE 3
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-2283
Practice Address - Country:US
Practice Address - Phone:732-282-8166
Practice Address - Fax:732-280-0147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty