NPIMap

Individual provider Active NPI

Elaine Smith

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1730575283
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB10396400 Issued in NJ
Practice address
1020 Sansom St Ste 1651B
Philadelphia, PA 19107-5002
Phone
(215) 955-9837
NPI assigned
Apr 11, 2015
Last updated
Oct 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB10396400 NJ Primary

Addresses

Primary practice location

1020 Sansom St Ste 1651B
Philadelphia, PA 19107-5002

Mailing address

100 Witmer Rd Ste 220
Horsham, PA 19044-2279
Phone (215) 442-5132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180905000883 NJ Practitioner - Emergency Medicine 9830409382 Reassigns benefits to 2 organizations
I20200716000025 PA Practitioner - General Surgery 9830409382 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haddon Emergency Physicians LLCGroup PAC ID 4082514229, 21 clinicians
Emergency Physician Associates of South Jersey P CGroup PAC ID 5294648457, 94 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (954) 939-5000

218 Sunset Rd a
Willingboro, NJ 08046-1110
Phone (609) 835-3030

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Nov 17, 2024 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Feb 14, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince May 17, 2024 Accepting new patients
North Carolina Em I Medical Services P C Past Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

218A Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

Interoperability endpoints

  • Direct secure messaging: elaine.smith@slpg.direct-sluhn.org

Organizations & group practices 8

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1730575283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WITMER RD STE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442279",
            "telephone_number": "215-442-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SANSOM ST STE 1651B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075002",
            "telephone_number": "215-955-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-11",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10396400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.