NPIMap

Individual provider Active NPI

John E Smith Jr., M.D.

  • Hematology & Oncology Physician
  • Phillipsburg, NJ
National Provider Identifier
1275521361
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA073316 Issued in NJ
Practice address
755 Memorial Parkway Suite 102
Hillcrest Professional Plaza
Phillipsburg, NJ 08865-2774
Phone
(908) 454-0370
Fax
(908) 454-9858
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA073316 NJ Primary

Addresses

Primary practice location

755 Memorial Parkway Suite 102
Hillcrest Professional Plaza
Phillipsburg, NJ 08865-2774

Mailing address

10 Brass Castle Rd
Washington, NJ 08865-4327
Phone (908) 454-0370

Other identifiers 16

IdentifierTypeStateIssuer
1406833OtherAMERIHEALTH
222144152OtherINTERGROUP
1406833OtherINDEPENCENCE BLUE CROSS
7100340OtherAETNA PPO
8828105MedicaidNJ
222144152OtherDEVON
1167146OtherHORIZON NJ HEALTH
2807974OtherAETNA PROVIDER NUMBER
1406833OtherHIGHMARK BLUE CROSS
2094464000OtherKEYSTONE HEALTHPLAN EAST
222144152OtherMAGNACARE
222144152OtherHEALTHCRE PAYOR COALITION
9922910-003OtherCIGNA HEALTHCARE
222144152OtherHORIZON BLUE CROSS
1406833OtherPREMIERE BLUE
50001283OtherCAPITAL BLUE CROSS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100517000783 NJ Practitioner - Hematology/Oncology 4789712431 Reassigns benefits to 1 organization
I20100804000309 PA Practitioner - Hematology/Oncology 4789712431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

123 A Roseberry St
Phillipsburg, NJ 08865-1629
Phone (908) 847-8853

123 Roseberry St
Phillipsburg, NJ 08865-1629
Phone (908) 454-0370

1600 St Lukes Blvd
Easton, PA 18045-5671
Phone (484) 503-4500

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA073316NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC Hematology & Oncology Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 28, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 28, 2017 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 1, 2011 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients

Locations

123 Roseberry St
#A
Phillipsburg, NJ 08865
Phone (610) 258-6268

755 Memorial Pkwy
Ste 102
Phillipsburg, NJ 08865
Phone (908) 454-0370

123 Roseberry St
Phillipsburg, NJ 08865
Phone (610) 866-2600

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

2125 Fairview Ave
Easton, PA 18042
Phone (610) 258-2801

1600 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-4400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: john.smith@slpg.direct-sluhn.org

Organizations & group practices 6

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 10

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1275521361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRASS CASTLE RD",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "088654327",
            "telephone_number": "908-454-0370",
            "fax_number": "908-454-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PARKWAY SUITE 102",
            "address_2": "HILLCREST PROFESSIONAL PLAZA",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652774",
            "telephone_number": "908-454-0370",
            "fax_number": "908-454-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA073316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1406833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP",
            "identifier": "222144152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENCENCE BLUE CROSS",
            "identifier": "1406833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7100340",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8828105",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "222144152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1167146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2807974",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "1406833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTHPLAN EAST",
            "identifier": "2094464000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "222144152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCRE PAYOR COALITION",
            "identifier": "222144152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "9922910-003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS",
            "identifier": "222144152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIERE BLUE",
            "identifier": "1406833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50001283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.