Active NPI
Trinity Advanced Healthcare Services
- Home Health Registered Nurse
- Medford, NJ
National Provider Identifier
1487219796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- TRINITY ADVANCED HEALTHCARE SERVICES
- Practice address
- 13 Abingdon Ave
Medford, NJ 08055-3361 - Phone
- (609) 504-6444
- NPI assigned
- May 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simone Lynch-Smith
- Title
- Ceo
- Phone
- (609) 504-6444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary | ||
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Wound Care Registered Nurse | 163WW0000X |
Addresses
Primary practice location
13 Abingdon Ave
Medford, NJ 08055-3361
Mailing address
13 Abingdon Ave
Medford, NJ 08055-3361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173036306 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Marlton, NJ
- NPI 1730363060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556755200000",
"number": "1487219796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 ABINGDON AVE",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 ABINGDON AVE",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553361",
"telephone_number": "609-504-6444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY ADVANCED HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A",
"authorized_official_last_name": "LYNCH-SMITH",
"authorized_official_first_name": "SIMONE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "609-504-6444"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173036306",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.