Individual provider Active NPI

Kate M Smith, APN

  • Gerontology Nurse Practitioner
  • Ridgefield Park, NJ
National Provider Identifier
1063260131
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15038800 Issued in NJ
Practice address
100 Challenger Rd # 205
Ridgefield Park, NJ 07660-2108
Phone
(443) 383-9300
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ15038800 NJ Primary

Addresses

Primary practice location

100 Challenger Rd # 205
Ridgefield Park, NJ 07660-2108

Mailing address

31 Yard Rd
Stockton, NJ 08559-1011
Phone (908) 283-4242

Other practice location 1

31 Yard Rd
Stockton, NJ 08559-1011
Phone (443) 383-9300

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
I20240618001985 NJ Practitioner - Nurse Practitioner 8820531965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Neurology, PAGroup PAC ID 9830595958, 2 clinicians

Practice addresses (Care Compare)

1322 Route 31 N
FL 2
Annandale, NJ 08801-3127
Phone (908) 894-7222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15038800NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Medicine and Geriatrics, LLC CurrentSince Jan 6, 2025 Accepting new patients
Hunterdon Neurology, PA CurrentSince Sep 1, 2025 Accepting new patients
Preferred Therapeutics, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1322 State Route 31 N
Ste 2
Annandale, NJ 08801
Phone (908) 894-7222

194 Route 31
Ste 102
Flemington, NJ 08822
Phone (908) 894-7222

601 Ewing St
Ste C7
Princeton, NJ 08540
Phone (609) 921-8766

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIHCD/Endpoint/JEIHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIHCD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1063260131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 YARD RD",
            "city": "STOCKTON",
            "state": "NJ",
            "postal_code": "085591011",
            "telephone_number": "908-283-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHALLENGER RD # 205",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602108",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Yard Rd",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "NJ",
            "postal_code": "085591011",
            "country_code": "US",
            "telephone_number": "443-383-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15038800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield Park, NJ

Sources for this page

Verify at the official NPI Registry.