Individual provider · NPI-1

Smita Carroll, MD, MBA, MPH

Obstetrics & Gynecology · Hackensack, NJ

NPI number1699207662
StatusActive
Last updated in NPPESMay 7, 2025

Details

NPI
1699207662
Entity type
Individual (NPI-1)
Name
Smita Carroll
Credential
MD, MBA, MPH
Sex
Female
Sole proprietor
No
Enumeration date
Mar 29, 2017
Certification date
May 7, 2025
Last updated
May 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology25MA12595900NJYes
207V00000X Obstetrics & Gynecology321357-01NY
207VC0300X Obstetrics & Gynecology, Complex Family Planning321357-01NY

Other names

  • Smita Ravichandran (Former Name)

Practice location

20 Prospect Ave
Ste 607
Hackensack, NJ 07601-1962

Phone 551-996-8400

Mailing address

331 Newman Springs Rd
Bldg 2, Ste 220
Red Bank, NJ 07701-5688

Other practice locations

55 Lake Ave N
Worcester, MA 01655-0002

Phone 508-334-1000

100 E 77th St
New York, NY 10075-1850

Phone 212-434-2000

2211 Lomas Blvd Ne
Albuquerque, NM 87131-2903

Phone 505-272-0776 · Fax 505-272-6385

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