Active NPIIndividual provider

Jordan A Smith, PA-C

Physician Assistant in Medford, New Jersey

NPI Number1497489223
Practice location
131 Route 70 Ste 100B, Medford, NJ 08055-9501
Fax
609-451-5518
Last updated
May 20, 2025

Jordan Alice Smith is a Physician Assistant based in Medford, NJ. Jordan Alice Smith practices in Medford, NJ and has the professional credentials of PA-C. The NPI Number for Jordan Alice Smith is 1497489223 and holds a License No. 25MP00712100 (NJ). The current practice location address for Jordan Alice Smith is 131 Route 70 Ste 100B, Medford, NJ 08055-9501 and can be reached out via phone at 856-673-3960 and via fax at 609-451-5518.

Provider Profile Details

NPI Number
1497489223
Provider Name
Jordan Alice Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
131 Route 70 Ste 100B, Medford, NJ 08055-9501
Phone Number
856-673-3960
Fax Number
609-451-5518
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Jordan Alice Powelson, PA-C (Former Name)
Provider Enumeration Date
July 16, 2022
Last Update Date
May 20, 2025
Certification Date
May 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Route 70 Ste 100B
Medford, NJ 08055-9501
Zip
08055-9501
Phone Number
856-673-3960
Fax Number
609-451-5518
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-673-3960
Fax Number
609-451-5518

License Information

License Number
25MP00712100
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jordan A Smith, PA-C?

The NPI number of Jordan A Smith, PA-C is 1497489223. It was assigned on July 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Jordan A Smith, PA-C?

Jordan A Smith, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00712100.

Where does Jordan A Smith, PA-C practice?

The practice location is 131 Route 70 Ste 100B, Medford, NJ 08055-9501. The office can be reached at 856-673-3960 (phone) or 609-451-5518 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497489223 directly on the NPPES registry website.

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