Melonie D Smith, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00967300 Issued in NJ

Practice address

39 E 39TH St Apt 4P
Paterson, NJ 07514-1163

Phone

(973) 896-5982

Fax

(973) 333-3299

NPI assigned

Jan 25, 2020

Last updated

Jan 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1578193876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E 39TH ST APT 4P",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141163",
            "telephone_number": "973-896-5982",
            "fax_number": "973-333-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E 39TH ST APT 4P",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141163",
            "telephone_number": "973-896-5982",
            "fax_number": "973-333-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELONIE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00967300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Central Dental PC
• Smile Central Orthodontics, P.C.
• Alexis Rae Smith, MD
• Khadijah Smith
• Linda Gwyn Smith, CSW
• Mona Sobhani, DMD
• Social Affairs
• Ariana Socorro-Aguirre
• Mary Sohan, DO
• Jenna Marie Sokoly, APN

• Gerontology Nurse Practitioner in Paterson, NJ
• Providers in Paterson, 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 Jan 25, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.