Individual provider Active NPI

Danielle Marie Smith, PA-C

  • Physician Assistant
  • Hainesport, NJ
National Provider Identifier
1447918735
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00660600 Issued in NJ
Practice address
201 Creek Crossing Blvd
Hainesport, NJ 08036-2766
Phone
(609) 261-5800
Fax
(609) 261-5801
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 25MP00660600 NJ Primary

Addresses

Primary practice location

201 Creek Crossing Blvd
Hainesport, NJ 08036-2766

Mailing address

201 Creek Crossing Blvd
Hainesport, NJ 08036-2766
Phone (609) 261-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Danielle.smith.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220202002032 NJ Practitioner - Physician Assistant 2668865239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine, LLC CurrentSince Jul 22, 2025 Accepting new patients
Premier Brain and Spine LLC CurrentSince Jul 22, 2025 Accepting new patients

Locations

201 Creek Crossing Blvd
Ste 201
Hainesport, NJ 08036
Phone (609) 261-5800

201 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 261-5800

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • Direct secure messaging: danielle.smith.1@21449.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1447918735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362766",
            "telephone_number": "609-261-5800",
            "fax_number": "609-261-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362766",
            "telephone_number": "609-261-5800",
            "fax_number": "609-261-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00660600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Danielle.smith.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "201 Creek Crossing Blvd",
            "city": "Hainesport",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080362766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

Verify at the official NPI Registry.