Active NPI
Carol L Schmidt MD LLC
- Family Medicine Physician
- Laurel Springs, NJ
National Provider Identifier
1841494564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA05079700
- Legal business name
- CAROL L SCHMIDT MD LLC
- Practice address
- 1377 Chews Landing Rd
Laurel Springs, NJ 08021 - Phone
- (856) 227-3434
- Fax
- (856) 227-6001
- NPI assigned
- Jun 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carol L Schmidt, M D
- Title
- Owner Physician
- Phone
- (856) 722-3436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA05079700 | NJ | Primary |
Addresses
Primary practice location
1377 Chews Landing Rd
Laurel Springs, NJ 08021
Mailing address
2 Yorkshire Dr
Voorhees, NJ 08043-3730
Phone (856) 772-3436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6359604 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188432000000",
"number": "1841494564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 YORKSHIRE DR",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433730",
"telephone_number": "856-772-3436"
},
{
"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": "08021",
"telephone_number": "856-227-3434",
"fax_number": "856-227-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL L SCHMIDT MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2007-08-30",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "856-722-3436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA05079700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6359604",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel Springs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.