Individual provider Active NPI

Shrita Marie Smith, M,D,

  • Diagnostic Radiology Physician
  • Summit, NJ
National Provider Identifier
1801139522
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09810600 Issued in NJ
Practice address
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone
(908) 522-2065
Fax
(908) 522-5763
NPI assigned
Apr 1, 2013
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD456958 PA
Diagnostic Radiology Physician 2085R0202X 25MA09810600 NJ Primary

Addresses

Primary practice location

99 Beauvoir Ave
Summit, NJ 07901-3533

Mailing address

PO Box 412826
Boston, MA 02241-2526
Phone (610) 892-8889

Other practice location 1

2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160901001940 PA Practitioner - Diagnostic Radiology 8426357070 Reassigns benefits to 1 organization
I20160901002338 NJ Practitioner - Diagnostic Radiology 8426357070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Practice addresses (Care Compare)

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2065

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09810600NJMDDiagnostic Radiology Physician
MD456958PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ancillary Services of Practice Associates PA Diagnostic Radiology CurrentSince Apr 18, 2022 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince Apr 18, 2022 Accepting new patients
Women's Healthcare Imaging, Corp. CurrentSince Jan 9, 2025 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Atlantic Imaging Services LLC Diagnostic Radiology CurrentSince Apr 18, 2022 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients

Locations

471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511

1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889

10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

2501 Kuser Rd
Trenton, NJ 08691
Phone (609) 587-4777

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

Organizations & group practices 7

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 5

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1801139522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412826",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412526",
            "telephone_number": "610-892-8889",
            "fax_number": "484-446-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-522-2065",
            "fax_number": "908-522-5763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 Schoenersville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177307",
            "country_code": "US",
            "telephone_number": "610-861-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHRITA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M,D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD456958",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09810600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.