Organization Active NPI

Definite Primary Care, LLC

  • Internal Medicine Physician
  • Union, NJ
National Provider Identifier
1508280777
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DEFINITE PRIMARY CARE, LLC
Practice address
1767 Morris Ave
Suite 115
Union, NJ 07083-3532
Phone
(732) 680-1676
NPI assigned
Feb 9, 2014
Last updated
Feb 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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

Authorized official

Name
Corina Smighelschi, MDNPI 1427345446
Title
Sole Member
Phone
(732) 680-1676

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1767 Morris Ave
Suite 115
Union, NJ 07083-3532

Mailing address

1767 Morris Ave
Suite 115
Union, NJ 07083-3532
Phone (732) 680-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140502000289 NJ Part B Supplier - Clinic/Group Practice 3870726615 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

1767 Morris Ave
Ste 115
Union, NJ 07083
Phone (908) 258-7405

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391904000000",
    "number": "1508280777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 MORRIS AVE",
            "address_2": "SUITE 115",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833532",
            "telephone_number": "732-680-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 MORRIS AVE",
            "address_2": "SUITE 115",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833532",
            "telephone_number": "732-680-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINITE PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A",
        "authorized_official_last_name": "SMIGHELSCHI",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "732-680-1676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.