Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104225671 Individual Practitioner Female Practitioner

Carol Louise Smith , PA-C

Physician Assistant • Clementon, NJ

Professional Overview & Biography Verified Profile Summary

Carol Smith, PA-C is a registered healthcare professional specializing in Physician Assistant in Clementon, NJ. Practice services are available at 1387 CHEWS LANDING RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1387 Chews Landing Rd

Clementon, NJ 080212760

Telephone 8564543104
Fax 8568425298
Associated Practice Facility / Clinic
🏢 Harmony Bay Wellness, Llc Facility NPI 1124663059

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clementon, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Clementon, NJ (3413 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00614200

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Tara Sullivan-Butrica , LCSW

Social Worker - Clinical

NPI 1013671080

Licensed Clinical Social Worker

Kinga Lewinski , LPC

Counselor - Professional

NPI 1063080075

Licensed Professional Counselor

Naomi Stuart , LSW

Social Worker - Clinical

NPI 1124370622

Licensed Social Worker

Mamie Mayhugh , LSW

Counselor - Mental Health

NPI 1144885310

Licensed Social Worker

Briana Falco , LCSW

Social Worker - Clinical

NPI 1508527367

Licensed Clinical Social Worker

Sarlah Bernard , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1508623125

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location October 31, 2025

Registered at 1387 CHEWS LANDING RD, CLEMENTON, NJ 080212760 (Tel: 8564543104)

📍
Updated Business Mailing Address October 31, 2025

Registered at 1387 CHEWS LANDING RD, CLEMENTON, NJ 080212760 (Tel: 8564543104)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2025

Physician Assistant (License #25MP00614200 in NJ)

📍
Updated Practice Location September 01, 2021

Registered at 6247 EXECUTIVE BLVD, ROCKVILLE, MD 208523906 (Tel: 3014681001)

📍
Updated Business Mailing Address September 01, 2021

Registered at 6247 EXECUTIVE BLVD, ROCKVILLE, MD 208523906 (Tel: 3014681001)

📍
Updated Business Mailing Address September 17, 2018

Registered at 3202 TOWER OAKS BLVD STE 100, ROCKVILLE, MD 208524219 (Tel: 3014681001)

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2018

Registered at 3202 TOWER OAKS BLVD STE 100, ROCKVILLE, MD 208524219 (Tel: 3016341411)

📍
Updated Business Mailing Address January 24, 2018

Registered at 5401 OLD YORK RD, KLEIN 510, PHILADELPHIA, PA 191413030

👤
Provider Name / Credentials Updated January 24, 2018

Recorded as CAROL SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Psychiatry & Neurology (License #C05974 in MD)

NPI Profile Active August 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2014

Registered at 5401 OLD YORK RD, KLEIN 510, PHILADELPHIA, PA 191413030 (Tel: 2154566930)

📍
Updated Business Mailing Address August 20, 2014

Registered at 5401 OLD YORK RD, KLEIN 510, PHILADELPHIA, PA 191413030

👤
Provider Name / Credentials Updated August 20, 2014

Recorded as CAROL SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2014

Physician Assistant (License #MA056826 in PA)

🟢
Initial NPI Registration & Enumeration August 20, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104225671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2014
Last Update: October 31, 2025
Sole Proprietor: No

Mailing Address

1387 Chews Landing Rd

Clementon, NJ 080212760

Phone: 8564543104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.