Individual provider Active NPI

Dana Smith-Bryan

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1003601709
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06479400 Issued in NJ
Practice address
741 Mount Lucas Rd
Princeton, NJ 08540-1911
Phone
(609) 613-4820
Fax
(609) 613-4821
NPI assigned
Apr 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06479400 NJ Primary

Addresses

Primary practice location

741 Mount Lucas Rd
Princeton, NJ 08540-1911

Mailing address

741 Mount Lucas Rd
Princeton, NJ 08540-1911
Phone (609) 613-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222002699 NJ Practitioner - Clinical Social Worker 1254826738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vimax LLCGroup PAC ID 7416273644, 21 clinicians

Practice addresses (Care Compare)

6 Cornwall Court
Suite B
East Brunswick, NJ 08816-3347

6 Cornwall CT
Suite B
East Brunswick, NJ 08816-3347
Phone (732) 955-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06479400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vimax LLC CurrentSince Sep 26, 2025 Accepting new patients
Vimax LLC CurrentSince Sep 26, 2025 Accepting new patients

Locations

6 Cornwall Ct
Ste B
East Brunswick, NJ 08816
Phone (732) 955-4141

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1003601709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 MOUNT LUCAS RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401911",
            "telephone_number": "609-613-4820",
            "fax_number": "609-613-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 MOUNT LUCAS RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401911",
            "telephone_number": "609-613-4820",
            "fax_number": "609-613-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-BRYAN",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-12",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06479400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.