Individual provider Active NPI

Carol Schmidt, MD

  • Family Medicine Physician
  • Laurel Springs, NJ
National Provider Identifier
1790764074
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05079700 Issued in NJ
Practice address
1377 Chews Landing Rd
Laurel Springs, NJ 08021-2760
Phone
(856) 227-3434
Fax
(856) 227-6001
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA05079700 NJ Primary

Addresses

Primary practice location

1377 Chews Landing Rd
Laurel Springs, NJ 08021-2760

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
6359604MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cschmidt13854@directvirtua.org
Direct Messaging Address cschmidt13854@directvirtua.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000004 NJ Practitioner - Family Practice 7810898079 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05079700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Virtua Medical Group, PA CurrentSince Jan 1, 2017 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1377 Chews Landing Rd
Laurel Springs, NJ 08021
Phone (856) 227-3434

406 E Gibbsboro Rd
Frnt
Lindenwold, NJ 08021
Phone (856) 309-0100

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1790764074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "856-227-3434",
            "fax_number": "856-227-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05079700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6359604",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cschmidt13854@directvirtua.org",
            "affiliation": "N",
            "address_1": "1377 Chews Landing Rd",
            "city": "Laurel Springs",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080212760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cschmidt13854@directvirtua.org",
            "affiliation": "N",
            "address_1": "406 E Gibbsboro Rd Frnt",
            "city": "Lindenwold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080211907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

Verify at the official NPI Registry.