Healthcare Provider Details

I. General information

NPI: 1396640348
Provider Name (Legal Business Name): SMART CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 INMAN AVE APT 306
COLONIA NJ
07067-1152
US

IV. Provider business mailing address

460 INMAN AVE APT 306
COLONIA NJ
07067-1152
US

V. Phone/Fax

Practice location:
  • Phone: 332-345-0170
  • Fax:
Mailing address:
  • Phone: 332-345-0170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEHREEN ANSARI
Title or Position: SOLE MBR
Credential:
Phone: 332-345-0170