Active NPI
Jacqueline Marie Smith, MD
- Obstetrics & Gynecology Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD60527099
- Practice address
- 1033 US Highway 46
Ste 102
Clifton, NJ 07013-2473 - Phone
- (973) 779-7979
- NPI assigned
- Jul 13, 2010
- Last updated
- May 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD60527099 | WA | Primary |
Addresses
Primary practice location
1033 US Highway 46
Ste 102
Clifton, NJ 07013-2473
Mailing address
1033 US Highway 46
Ste 102
Clifton, NJ 07013-2473
Phone (973) 779-7979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Memorial Hospital of William F and Gertrude F Jones Inc
Practice addresses (Care Compare)
127 N Main St
Wellsville, NY 14895-1149
Phone (585) 596-0145
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60527099 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Community Health Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens OBGYN PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Magella Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| OBGYN Hospitalist Medical Services of New York, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Health Care, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| Obstetrical-Gynecological Associates of the Southern Tier, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Services New Jersey, PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Charles Haddad, MD | Obstetrics & Gynecology | Current | Accepting new patients |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| HCH Tucson Holdings LLC | Past | Accepting new patients |
Locations
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1209 W Target Range Rd
Ste 100
Nogales, AZ 85621
Phone (520) 287-4747
1852 N Mastick Way
Nogales, AZ 85621
File 50978
Los Angeles, CA 90074
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
30 N Pearl St
Bridgeton, NJ 08302
1033 US Highway 46
Ste 102
Clifton, NJ 07013
Phone (973) 779-7979
335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755
700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
73 Buffalo St
Ste 100
Canandaigua, NY 14424
7309 Seneca Rd N
Ste 114
Hornell, NY 14843
Phone (607) 324-0604
30 Harrison St
Ste 340
Johnson City, NY 13790
Phone (607) 763-8088
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
401 Main St
Ste 1
Johnson City, NY 13790
Phone (607) 754-9870
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
Interoperability endpoints
- https://api.platform.athenahealth.com/23386/brand/1/csg/1/fhir/r4
- jsmith190252@ahs.direct-ci.com
- jsmith504270@direct.urmc.rochester.edu
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Clifton, NJ
- NPI 1952705410
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Obstetrics & Gynecology
-
- Maternal & Fetal Medicine Physician
- Long Beach, CA
- NPI 1376640086
Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1417985474
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1801169966
NJ
-
- Obstetrics & Gynecology Physician
- Niskayuna, NY
- NPI 1518285055
-
dba Jones Memorial Hospital
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Obstetrics & Gynecology Physician
- Johnson City, NY
- NPI 1083079198
-
- Hospitalist Physician
- Nogales, AZ
- NPI 1639720063
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Patagonia, AZ
- NPI 1003837618
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jones Memorial Hospital
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1255643615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 US HIGHWAY 46",
"address_2": "STE 102",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132473",
"telephone_number": "973-779-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 US HIGHWAY 46",
"address_2": "STE 102",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132473",
"telephone_number": "973-779-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60527099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.