Carl M Smith Jr.
Individual provider Active NPI Nurse's Aide · Pine Hill, NJ
NPI 1104666346 · NPPES record last updated May 27, 2024
Key facts
- NPI
- 1104666346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 98 W 3Rd Ave
Pine Hill, NJ 08021-6107 - Phone
- (856) 745-3453
- NPI assigned
- May 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
98 W 3Rd Ave
Pine Hill, NJ 08021-6107
Mailing address
98 W 3Rd Ave
Pine Hill, NJ 08021-6107
Phone (856) 745-3453
Other providers in Pine Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.