Individual provider Active NPI

Carol Smigelsky, N.P.

  • Nurse Practitioner
  • Flemington, NJ
National Provider Identifier
1124073416
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NN05049 Issued in NJ
Practice address
111 State Route 31
Suite 121
Flemington, NJ 08822-5795
Phone
(908) 782-2825
Fax
(908) 782-0196
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NN05049 NJ Primary

Addresses

Primary practice location

111 State Route 31
Suite 121
Flemington, NJ 08822-5795

Mailing address

111 State Route 31
Suite 121
Flemington, NJ 08822-5795
Phone (908) 782-2825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NN05049NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in OB/GYN PA PastSince Jun 1, 2015 Accepting new patients

Organizations & group practices 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1124073416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STATE ROUTE 31",
            "address_2": "SUITE 121",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225795",
            "telephone_number": "908-782-2825",
            "fax_number": "908-782-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STATE ROUTE 31",
            "address_2": "SUITE 121",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225795",
            "telephone_number": "908-782-2825",
            "fax_number": "908-782-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIGELSKY",
        "first_name": "CAROL",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NN05049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.