Active NPI
Rebecca Ann Smith, APN,C
- Acute Care Nurse Practitioner
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ00126900
- Practice address
- 42 E Laurel Rd Ste 1800
Stratford, NJ 08084-1338 - Phone
- (856) 566-6843
- Fax
- (856) 566-6419
- NPI assigned
- May 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 26NJ00126900 | NJ | |
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00126900 | NJ | Primary |
Addresses
Primary practice location
42 E Laurel Rd Ste 1800
Stratford, NJ 08084-1338
Mailing address
461 Weymouth Rd
Buena, NJ 08310-1625
Phone (609) 226-1565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0311880 | Medicaid | NJ | |
| 808486 | Other | NJ | MEDICARE ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsmith252201@directvirtua.org |
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
36 Cushman St
Lakewood, NJ 08701-5201
Phone (856) 885-4579
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00126900 | NJ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowansom New Jersey Institute for Successful Aging | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Nurse Practitioner Professional Resources | Current | Accepting new patients | |
| Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry | Current | Accepting new patients | |
| Center for Integrative and Traditional Medicine LLC | Past | Accepting new patients | |
| Excel Medical Group PC | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
42 E Laurel Rd
Ste 1800
Stratford, NJ 08084
Phone (609) 566-6843
Interoperability endpoints
- https://api.platform.athenahealth.com/26288/brand/1/csg/1/fhir/r4
- rsmith252201@directvirtua.org
- rebecca.smith.1@26288.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Adult Health Nurse Practitioner
- Blackwood, NJ
- NPI 1558516260
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Internal Medicine Physician
- Stratford, NJ
- NPI 1881666105
-
- Psychiatry Physician
- Stratford, NJ
- NPI 1881668846
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urgent Care Clinic/Center
- Haddon Township, NJ
- NPI 1932659778
-
- Primary Care Clinic/Center
- Paramus, NJ
- NPI 1720854342
-
- Primary Care Clinic/Center
- North Bergen, NJ
- NPI 1518643444
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1922820901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1295943462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 WEYMOUTH RD",
"city": "BUENA",
"state": "NJ",
"postal_code": "083101625",
"telephone_number": "609-226-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 1800",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841338",
"telephone_number": "856-566-6843",
"fax_number": "856-566-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "APN,C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "NJ",
"license": "26NJ00126900",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00126900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0311880",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "808486",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rsmith252201@directvirtua.org",
"affiliation": "N",
"address_1": "42 E Laurel Rd Ste 1800",
"city": "Stratford",
"state": "NJ",
"country_code": "US",
"postal_code": "080841338",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.