ELIZABETH ANN SMOLSKY (NPI# 1235118555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235118555 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN SMOLSKY |
| Credential | MSN, APN, C |
| Practice Address |
103 Old Marlton Pike Suite 111 Medford NJ 08055-8772 |
| Practice Telephone | 6099537111 |
| Practice Fax Number | 6099531544 |
| Mailing Telephone | 6099537111 |
| Mailing Fax Number | 6099531544 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2016-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 26NJ00026000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00026000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0017141 | 05 |
| Street Address |
103 OLD MARLTON PIKE SUITE 111 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-8772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442384 | John Yohan Kim | Allergy & Immunology | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2005-10-22 |
| 1992058689 | Courtney E Houde | Physician Assistant | 103 Old Marlton Pike, Medford, NJ 08055 | 2012-10-18 |
| 1790066264 | Sleep for Health-medford LLC | Clinic/Center | 103 Old Marlton Pike, Suite 124, Medford, NJ 08055-8772 | 2011-08-29 |
| 1720318512 | Louis A D'angelo, Dmd, PC | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2009-12-30 |
| 1457581340 | Silen Balin | Dentist | 103 Old Marlton Pike, #200, Medford, NJ 08055-8772 | 2009-07-26 |
| 1275710592 | Donald C Gibson | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2008-01-29 |
| 1942492723 | Janet L Parker | Nurse Practitioner | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2007-08-15 |
| 1528258274 | Jeffrey Pinto | Internal Medicine | 103 Old Marlton Pike, Suite 103, Medford, NJ 08055-8772 | 2007-07-30 |
| 1881721140 | Jeffrey M Doblin | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055 | 2007-02-27 |
| 1073655981 | Doshik Kim | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1770005407 | Suzanne Ellen Sanderson | Nurse Practitioner | 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 | 2017-07-14 |
| 1194189902 | Josephine Magpantay Gaviola | Nurse Practitioner | 101 Main St Ste 116, Medford, MA 02155-4530 | 2016-04-07 |
| 1033514286 | Lauren E Hodgdon | Nurse Practitioner | 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 | 2014-10-30 |
| 1962820209 | Jessica Anne Marie Gunn | Nurse Practitioner | 21 Ohio Trl, Medford, NJ 08055-8931 | 2014-04-03 |
| 1912333451 | Travis Adam Day | Nurse Practitioner | 70 Bower Dr Ste 110, Medford, OR 97501-3689 | 2013-09-16 |
| 1184058703 | Ashley Riley | Nurse Practitioner | 101 Main St Ste 107, Medford, MA 02155-4530 | 2013-08-30 |
| 1578841169 | Shannon Jamerson | Nurse Practitioner | 619 N Front St, Medford, OK 73759-2704 | 2011-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1366763336 | Edward William Walton | Nurse Practitioner | 2 Pinecrest Dr, Medford, NJ 08055-8513 | 2010-06-14 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.