Individual provider Active NPI

Jillian Corbett Smith, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Haddon Heights, NJ
National Provider Identifier
1508009325
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA09149700 Issued in NJ
Practice address
217 Black Horse Pike
Haddon Heights, NJ 08035-1009
Phone
(888) 982-8594
NPI assigned
Apr 9, 2009
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA09149700 NJ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD436834 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 320696 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X C1-0025789 DE
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA09149700 NJ Primary

Addresses

Primary practice location

217 Black Horse Pike
Haddon Heights, NJ 08035-1009

Mailing address

PO Box 159
Barrington, NJ 08007-0159
Phone (856) 342-2351

Other practice location 1

1 Cooper Plaza
Cooper Hospital Dept. of Emergency Medicine
Camden, NJ 08103
Phone (856) 342-2351

Other practice location 2

150 Sunnyside Blvd
Plainview, NY 11803-1504
Phone (888) 982-8594

Other practice location 3

2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (888) 982-8594

Other practice location 4

410 N Krocks Rd
Allentown, PA 18106
Phone (888) 982-8594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, NY, DE4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090619000491 PA Practitioner - Emergency Medicine 6507917259 Reassigns benefits to 1 organization
I20120924000219 NJ Practitioner - Emergency Medicine 6507917259 Reassigns benefits to 3 organizations
I20230208001422 NY Practitioner - Emergency Medicine 6507917259 Reassigns benefits to 1 organization
I20230215002629 DE Practitioner - Emergency Medicine 6507917259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers, Robert Woood Johnson Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians

Practice addresses (Care Compare)

200 Broadhollow Rd
Suite 207
Melville, NY 11747-4806
Phone (888) 982-8594

2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (888) 982-8594

217 Black Horse Pike
Haddon Heights, NJ 08035-1009
Phone (888) 982-8594

410 N Krocks Rd
Allentown, PA 18106-9283
Phone (888) 982-8594

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09149700NJMDEmergency Medicine Physician
320696NYMDGeriatric Medicine (Internal Medicine) Physician
MD436834PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Urgent Care, PC CurrentSince Oct 1, 2012 Accepting new patients
American Telehealth, LLC CurrentSince Feb 6, 2023 Accepting new patients
Cooper Univeristy Emergency Physicians, PC Emergency Medicine CurrentSince Aug 11, 2012 Accepting new patients

Locations

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

217 Black Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 885-3578

1000 Crawford Pl
Ste 240
Mount Laurel, NJ 08054
Phone (889) 828-5948

200 Broadhollow Rd
Ste 207
Melville, NY 11747
Phone (516) 906-4970

150 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 576-3330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1508009325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080070159",
            "telephone_number": "856-342-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BLACK HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351009",
            "telephone_number": "888-982-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cooper Plaza",
            "address_2": "Cooper Hospital Dept. of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-342-2351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Sunnyside Blvd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118031504",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 Shipley Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198035248",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Krocks Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "18106",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILLIAN",
        "middle_name": "CORBETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09149700",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD436834",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "320696",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "DE",
            "license": "C1-0025789",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA09149700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.