Active NPI
Jacqueline Schmidt, DDS
- Dentist
- Hoboken, NJ
National Provider Identifier
1235853805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02934800
- Practice address
- 100 Paterson Ave
Hoboken, NJ 07030-6169 - Phone
- (201) 716-0651
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02934800 | NJ | Primary |
Addresses
Primary practice location
100 Paterson Ave
Hoboken, NJ 07030-6169
Mailing address
207 E 33Rd St Apt 3C
New York, NY 10016-4820
Phone (815) 953-9456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221202002218 | NJ | Order and Referring Only - Dentist | 5294104808 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02934800 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1235853805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E 33RD ST APT 3C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164820",
"telephone_number": "815-953-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PATERSON AVE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306169",
"telephone_number": "201-716-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "JACQUELINE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02934800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.