Healthcare Provider Details

I. General information

NPI: 1346178670
Provider Name (Legal Business Name): HOPE MARIE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOPE MARIE JANSSON

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 CANOE BROOK PKWY
SUMMIT NJ
07901-1632
US

IV. Provider business mailing address

180 CANOE BROOK PKWY
SUMMIT NJ
07901-1632
US

V. Phone/Fax

Practice location:
  • Phone: 201-983-7855
  • Fax:
Mailing address:
  • Phone: 201-983-7855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number433425
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ15539600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: