Individual provider Active NPI

Dainty Smith

  • Family Nurse Practitioner
  • Pemberton, NJ
National Provider Identifier
1861139156
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01294400 Issued in NJ
Practice address
600 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537
Phone
(609) 894-1100
Fax
(609) 894-1110
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01294400 NJ Primary

Addresses

Primary practice location

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537

Mailing address

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537
Phone (609) 894-1100

Other practice location 1

651 High St
Burlington, NJ 08016-2737
Phone (609) 386-0775

Other names 1

  • Dainty Thompson Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718002101 NJ Practitioner - Nurse Practitioner 8325429699 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal NP Services LLCGroup PAC ID 9335455179, 65 clinicians

Practice addresses (Care Compare)

456 Chestnut St
Suite 102
Lakewood, NJ 08701-6124
Phone (732) 486-7373

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537
Phone (609) 894-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01294400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Jul 1, 2025 Accepting new patients
Personal NP Services, LLC CurrentSince Nov 1, 2022 Accepting new patients
Southern Jersey Family Medical Centers Inc CurrentSince Jul 5, 2022 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Jul 5, 2022 Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc. Past Accepting new patients
Virtua Willingboro Hospital Inc Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

62 Richmond Ave
Lumberton, NJ 08048
Phone (609) 267-8800

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1017.epichosted.com/FHIRProxy/api/FHIR/R4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1861139156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PEMBERTON BROWNS MILLS RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681537",
            "telephone_number": "609-894-1100",
            "fax_number": "609-894-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PEMBERTON BROWNS MILLS RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681537",
            "telephone_number": "609-894-1100",
            "fax_number": "609-894-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 High St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080162737",
            "country_code": "US",
            "telephone_number": "609-386-0775",
            "fax_number": "609-386-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAINTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01294400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAINTY",
            "last_name": "THOMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pemberton, NJ

Sources for this page

Verify at the official NPI Registry.