Provider Demographics
NPI:1487731972
Name:SMELKINSON, ANN ELAINE (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:ELAINE
Last Name:SMELKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:ELAINE
Other - Last Name:OSHATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2650 US HIGHWAY 130 STE F
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3327
Mailing Address - Country:US
Mailing Address - Phone:609-860-8000
Mailing Address - Fax:609-860-8004
Practice Address - Street 1:2650 US HIGHWAY 130
Practice Address - Street 2:SUITE F
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3327
Practice Address - Country:US
Practice Address - Phone:609-860-8000
Practice Address - Fax:609-860-8004
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04948600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC55370Medicare UPIN
NJ452735Medicare ID - Type Unspecified
NJ050032Medicare ID - Type Unspecified