Jennifer Lynne Smith, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00166100 Issued in NJ

Practice address

523 Forest Edge
Woodbury, NJ 08096-2952

Phone

(856) 472-5839

NPI assigned

May 14, 2022

Last updated

May 14, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1871230599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FOREST EDGE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FOREST EDGE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962952",
            "telephone_number": "856-472-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00166100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia A Skowron Scharle, APN-C
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• Allyson Smith, APN
• Delilah Smith
• Sylwester Mieczyslaw Sobieszczyk, M.D.
• Rachel Sole, EDD, LAC, NCC
• Morton Daniel Sosland, M.D.
• South Jersey Anesthesia and Pain Physicians PC
• South Jersey Endoscopy LLC

• Athletic Trainer in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.