HASKELL TOWNE MEDICAL, LLC
NPI 1497948665
Clinic/Center - Primary Care in Haskell, NJ
About Haskell Towne Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HASKELL TOWNE MEDICAL, LLC (NPI 1497948665) is a healthcare organization registered as a primary care in Haskell, New Jersey and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Jeffrey Todd Smith, Physician, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Haskell Towne Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Haskell Towne Medical, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D1066463
Haskell Towne Medical · Haskell, NJFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Haskell Towne Medical, LLC's NPI number?
The NPI number for Haskell Towne Medical, LLC is 1497948665. It was assigned to this organization in the NPPES registry on August 21, 2007.
Where is Haskell Towne Medical, LLC located?
Haskell Towne Medical, LLC is located at 1141 Ringwood Ave Suite 7, Haskell, NJ 07420. The listed phone number is (973) 835-6777.
What is Haskell Towne Medical, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Haskell Towne Medical, LLC enrolled in Medicare?
Yes. Haskell Towne Medical, LLC is registered in the Medicare PECOS enrollment system.
When is Haskell Towne Medical, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Haskell Towne Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Haskell Towne Medical, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Haskell Towne Medical, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1066463) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Haskell Towne Medical, LLC was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Haskell Towne Medical, Llc · NPI 1497948665
Primary Care organization in Haskell, New Jersey. Organization record, active in the CMS NPPES registry since August 21, 2007.
## Identity
- **NPI:** 1497948665 (Entity type: Organization)
- **Enumerated:** August 21, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Smith, PHYSICIAN, OWNER
## Practice location
- **Address:** 1141 RINGWOOD AVE, SUITE 7, Haskell, NJ 07420-1565
- **Phone:** (973) 835-6777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497948665) · Data from the CMS NPPES public registry.