Juanita M Smith, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01174300 Issued in NJ

Practice address

573 Midwood Dr
Brick, NJ 08724-4739

Phone

(732) 773-5919

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakewood Resource and Referral Center IncGroup PAC ID 6901981497, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juanita.smith@chemed.eclinicaldirectplus.com

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.

• Lakewood Resource and Referral Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  Medicare reassignment Care Compare group NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, NJ
  • NPI 1124844816
  NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1518437474
  NPD
• Mid Atlantic Geriatric Associates-Ocean, P.a

  • Geriatric Medicine (Internal Medicine) Physician
  • Manchester, NJ
  • NPI 1134165210
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1558023846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 MIDWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087244739",
            "telephone_number": "732-773-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 MIDWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087244739",
            "telephone_number": "732-773-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUANITA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01174300",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01174300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Smentkowski, LCSW
• Sharon Sue Smith-Tumpey, DC
• Alexis Smith, PT, DPT
• Alicia Joy Smith
• Christina Dawn Smith, LAC
• Martha Smith
• Brianne Smolenski, NP
• Mitchann Smoyak, LSW
• Alexis Smutko, LSW
• Adrianne Sobocinski, P.T

• Gerontology Nurse Practitioner in Brick, NJ
• Providers in Brick, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.