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NPI · 1275521361 · NPPES-sourced

Dr. John Smith M.D.

ActiveHematology & Oncology
NPI Number
1275521361
Type 1 · Individual
Taxonomy Code
207RH0003X
Contact
(908) 454-0370
License NJ · MA073316
Last Updated
Enumerated
Primary practice addressNJ · 08865-2774
755 Memorial Parkway Suite 102, Hillcrest Professional PlazaPhillipsburg, NJ 08865-2774
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About this NPIWhat this record shows.

NPI 1275521361 is registered to Dr. John Smith M.D., a Hematology & Oncology practising at 755 Memorial Parkway Suite 102, Hillcrest Professional Plaza in Phillipsburg, New Jersey. Hematology & Oncology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. John Smith M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1406833· Issued by AMERIHEALTH
  • 222144152· Issued by INTERGROUP
  • 1406833· Issued by INDEPENCENCE BLUE CROSS
  • 7100340· Issued by AETNA PPO
  • 222144152· Issued by DEVON
  • 1167146· Issued by HORIZON NJ HEALTH
  • 2807974· Issued by AETNA PROVIDER NUMBER
  • 1406833· Issued by HIGHMARK BLUE CROSS
  • 2094464000· Issued by KEYSTONE HEALTHPLAN EAST
  • 222144152· Issued by MAGNACARE
  • 222144152· Issued by HEALTHCRE PAYOR COALITION
  • 9922910-003· Issued by CIGNA HEALTHCARE
  • 222144152· Issued by HORIZON BLUE CROSS
  • 1406833· Issued by PREMIERE BLUE
  • 50001283· Issued by CAPITAL BLUE CROSS

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. John Smith M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. John Smith M.D. directly at (908) 454-0370.

Frequently asked

Yes. NPI 1275521361 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Hematology & Oncology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (908) 454-0370.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. John Smith M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207RH0003X
Last updated
Enumerated
StatusActive
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