Individual provider Active NPI

Nicole M Schmid Davis, PAC

  • Physician Assistant
  • Hamilton, NJ
National Provider Identifier
1447377197
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002685L Issued in PA
Practice address
1445 Whitehorse Mercerville Rd Ste 103
Hamilton, NJ 08619-3834
Phone
(609) 587-6661
Fax
(609) 587-8503
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA002685L PA Primary

Addresses

Primary practice location

1445 Whitehorse Mercerville Rd Ste 103
Hamilton, NJ 08619-3834

Mailing address

1445 Whitehorse Mercerville Rd Ste 103
Hamilton, NJ 08619-3834
Phone (609) 587-6661

Other practice location 1

1445 Whitehorse Mercerville Rd Ste 103
Hamilton, NJ 08619-3834
Phone (609) 587-6661

Other practice location 2

4056 Quakerbridge Rd Ste 101
Lawrenceville, NJ 08648-4779
Phone (609) 528-9150

Other practice location 3

4056 Quakerbridge Rd Ste 101
Lawrenceville, NJ 08648-4779
Phone (609) 528-9150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002685LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physicians Group, PC CurrentSince Dec 15, 2019 Accepting new patients
Highland Park Family Practice, LLC CurrentSince Oct 1, 2012 Accepting new patients
Capital Health Primary Care Pennington Past Accepting new patients
Capital Health System Past Accepting new patients

Locations

1445 Whthrs Mrcvl Rd
Ste 103
Hamilton, NJ 08619
Phone (609) 587-6661

505 Raritan Ave
Highland Park, NJ 08904
Phone (732) 393-1331

1445 Whitehorse Mercerville Rd
Ste 103
Trenton, NJ 08619
Phone (609) 587-6661

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447377197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD STE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-587-6661",
            "fax_number": "609-587-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD STE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-587-6661",
            "fax_number": "609-587-8503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Whitehorse Mercerville Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193834",
            "country_code": "US",
            "telephone_number": "609-587-6661",
            "fax_number": "609-587-8503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4056 Quakerbridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086484779",
            "country_code": "US",
            "telephone_number": "609-528-9150",
            "fax_number": "609-528-9151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4056 Quakerbridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086484779",
            "country_code": "US",
            "telephone_number": "609-528-9150",
            "fax_number": "609-528-9151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMID DAVIS",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002685L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.