Mia A. Smith, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ15174200 Issued in NJ

Practice address

666 Plainsboro Rd Ste 1300
Plainsboro, NJ 08536-3047

Phone

(609) 694-1199

NPI assigned

Sep 4, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19323/brand/1/csg/1/fhir/r4
• Direct secure messaging: mia.smith.1@19323.direct.athenahealth.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.

• Naveen Mehrotra, MD, PA

  • Pediatrics Physician
  • Edison, NJ
  • NPI 1063784841
  NPD (past)

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1780419481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD STE 1300",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363047",
            "telephone_number": "609-694-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD STE 1300",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363047",
            "telephone_number": "609-694-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ15174200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Skrajewski, APN
• Smile Dental Care Inc
• Daniel Mark Smires, PT
• Kara Smith, NP
• Liam R Smith, MD
• Stephanie Domenica Smith, PA-C
• Cathy Jo Soden, RN, DNP, APN-C
• Andrew Harris Sokel, M.D.
• David B Sokol, M.D.
• Howard Spielman

• Pediatric Nurse Practitioner in Plainsboro, NJ
• Providers in Plainsboro, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.