Peter Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05984700 Issued in NJ

Practice address

339 W 2ND St
Bound Brook, NJ 08805-1833

Phone

(732) 356-1082

Fax

(732) 356-6327

NPI assigned

Aug 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family and Community Services of Somerset CountyGroup PAC ID 4688669450, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family & Community Services of Somerset County

  • Community/Behavioral Health Agency
  • Bound Brook, NJ
  • NPI 1154408623
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1225447220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W 2ND ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051833",
            "telephone_number": "732-356-1082",
            "fax_number": "732-356-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W 2ND ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051833",
            "telephone_number": "732-356-1082",
            "fax_number": "732-356-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05984700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Shapiro, LCSW MSW ALSW,R.N.
• Robin Marie Shell
• Dana Silva, BCBA
• Stephanie L Simmons, LSW
• Susan M Slater, MPT,OCS
• Renee A Smythe, LCSW
• Douglas Soden, MD
• Somerset Prosthetics and Orthotics Inc
• Special Abilities Global Network
• Station Pharmacy LLC

• Social Worker in Bound Brook, NJ
• Providers in Bound Brook, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.