Organization Active NPI

Andrew T. Smith,M.D., P.C.

  • Specialist
  • Phillipsburg, NJ
National Provider Identifier
1104989599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA066186 Issued in NJ
Legal business name
ANDREW T. SMITH,M.D., P.C.
Practice address
835 Belvidere Rd
Phillipsburg, NJ 08865-1384
Phone
(908) 859-5844
Fax
(908) 859-6357
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle L Jordan
Title
Office Manager
Phone
(908) 859-5844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA066186 NJ Primary

Addresses

Primary practice location

835 Belvidere Rd
Phillipsburg, NJ 08865-1384

Mailing address

835 Belvidere Rd
Phillipsburg, NJ 08865-1384
Phone (908) 859-5844

Other identifiers 5

IdentifierTypeStateIssuer
1085642OtherNJHORIZON NJ HEALTH
1744588OtherNJUNITED HEALTHCARE
959505OtherPABCBS OF PA
0017730280001MedicaidPA
959505OtherPAHIGHMARK BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104989599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 BELVIDERE RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651384",
            "telephone_number": "908-859-5844",
            "fax_number": "908-859-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 BELVIDERE RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651384",
            "telephone_number": "908-859-5844",
            "fax_number": "908-859-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW T. SMITH,M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-859-5844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA066186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1085642",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1744588",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF PA",
            "identifier": "959505",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017730280001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "959505",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.