Healthcare Provider Details

I. General information

NPI: 1306762026
Provider Name (Legal Business Name): DAVID BERTRAND SMITH DNP, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 TALMADGE RD
EDISON NJ
08817-2339
US

IV. Provider business mailing address

24 GOODWIN DR
NORTH BRUNSWICK NJ
08902-4267
US

V. Phone/Fax

Practice location:
  • Phone: 732-321-7837
  • Fax:
Mailing address:
  • Phone: 504-358-9966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number26NJ15579100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: