Individual provider Active NPI

Cheryl E Smith, MD PC

  • Dermatopathology (Pathology) Physician
  • Glassboro, NJ
National Provider Identifier
1194863324
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
25MA04238400 Issued in NJ
Practice address
15 East High Street
Suite F
Glassboro, NJ 08028-2595
Phone
(609) 868-4906
Fax
(856) 881-1449
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 25MA04238400 NJ Primary
Hematology (Pathology) Physician 207ZH0000X 25MA04238400 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA04238400 NJ

Addresses

Primary practice location

15 East High Street
Suite F
Glassboro, NJ 08028-2595

Mailing address

15 East High Street
Suite F
Glassboro, NJ 08028-2595
Phone (856) 881-0665

Other identifiers 3

IdentifierTypeStateIssuer
2392704MedicaidNJ
0108553000OtherAMERIHEALTH AND KEYSTONE
35552OtherAETNA USHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050110000124 NJ Practitioner - Pathology 5092763730 Reassigns benefits to 1 organization
I20181010003082 PA Practitioner - Pathology 5092763730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Temple University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-4682

Hospital & facility affiliations

  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc CurrentSince Apr 6, 2022 Accepting new patients
HR Physicians Services Anatomic Pathology & Clinical Pathology CurrentSince Oct 15, 2023 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince May 1, 2014 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Apr 6, 2022 Accepting new patients
HR Physician Services CurrentSince Oct 15, 2023 Accepting new patients
HR Physician Services Current Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Southern Regional Pathology Associates, PC Past Accepting new patients
Delaware Valley Urology LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

Interoperability endpoints

  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 10

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194863324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EAST HIGH STREET",
            "address_2": "SUITE F",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282595",
            "telephone_number": "856-881-0665",
            "fax_number": "856-881-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EAST HIGH STREET",
            "address_2": "SUITE F",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282595",
            "telephone_number": "609-868-4906",
            "fax_number": "856-881-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHERYL",
        "middle_name": "E",
        "credential": "MD PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NJ",
            "license": "25MA04238400",
            "primary": true
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NJ",
            "license": "25MA04238400",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA04238400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2392704",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH AND KEYSTONE",
            "identifier": "0108553000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "35552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

Verify at the official NPI Registry.