Bridgeton Medical Associates PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRIDGETON MEDICAL ASSOCIATES PA

Practice address

105 Manheim Ave
Suite 1
Bridgeton, NJ 08302-2139

Phone

(856) 455-2700

Fax

(856) 455-7051

NPI assigned

Jun 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Donna J Rocco

Title

Billing Representative

Phone

(856) 455-6214

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith E Riley-Lowe, DO

  • Family Medicine Physician
  • Bridgeton, NJ
  • NPI 1497861538

  Family Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Joseph D. Ordille, DO

  • Family Medicine Physician
  • Bridgeton, NJ
  • NPI 1053354357

  NJ

  Medicare reassignment Care Compare group
• Joseph Patrick Riley, DO

  • Obstetrics & Gynecology Physician
  • Sisseton, SD
  • NPI 1881668911
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1013958719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MANHEIM AVE",
            "address_2": "SUITE 1",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-455-2700",
            "fax_number": "856-455-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MANHEIM AVE",
            "address_2": "SUITE 1",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022139",
            "telephone_number": "856-455-2700",
            "fax_number": "856-455-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETON MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "ROCCO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "856-455-6214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8239207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Bott
• Tarrah Bowick, LCSW
• Melissa Bradley, APN
• Anna K Brecht, PHARMACIST
• Bridgeton Dental Associates, PA
• Bridgeton Public Schools
• Bridgeton RX Inc
• Bridgeton RX Inc
• Bridgeton SNF LLC
• Glennteaya M Brooks, CERTIFICATE

• All providers in Bridgeton, NJ
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.