Individual provider Active NPI

Jessica Kirby-Smith, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Silver, NJ
National Provider Identifier
1013612902
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01472700 Issued in NJ
Practice address
44 Sycamore Ave Ste 3D
Little Silver, NJ 07739-1242
Phone
(732) 838-9326
Fax
(732) 605-5858
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404845-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01472700 NJ Primary

Addresses

Primary practice location

44 Sycamore Ave Ste 3D
Little Silver, NJ 07739-1242

Mailing address

PO Box 231
Oceanport, NJ 07757-0231
Phone (732) 861-6160

Other practice location 1

303 5th Ave Rm 602
New York, NY 10016-6654
Phone (914) 359-3257

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231014000189 NJ Practitioner - Nurse Practitioner 5395190193 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F404845-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Road Psychiatric Services LLC CurrentSince Aug 4, 2023 Accepting new patients
Kirby-Smith Psych Services LLC Psychiatric/Mental Health Current Accepting new patients

Locations

7 Hendrickson Ave
Red Bank, NJ 07701
Phone (732) 893-5314

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1013612902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077570231",
            "telephone_number": "732-861-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SYCAMORE AVE STE 3D",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391242",
            "telephone_number": "732-838-9326",
            "fax_number": "732-605-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 5th Ave Rm 602",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166654",
            "country_code": "US",
            "telephone_number": "914-359-3257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY-SMITH",
        "first_name": "JESSICA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404845-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01472700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.