Individual provider Active NPI

Gregory C Collins, MD

  • Internal Medicine Physician
  • Atlantic City, NJ
National Provider Identifier
1043229065
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05975100 Issued in NJ
Practice address
1301 Atlantic Ave
Atlantic City, NJ 08401-7247
Phone
(609) 572-0000
Fax
(609) 572-0039
NPI assigned
Aug 7, 2006
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05975100 NJ Primary

Addresses

Primary practice location

1301 Atlantic Ave
Atlantic City, NJ 08401-7247

Mailing address

1 N White Horse Pike
Hammonton, NJ 08037-1875
Phone (609) 567-0200

Other identifiers 1

IdentifierTypeStateIssuer
6447503MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000410 NJ Practitioner - Internal Medicine 8628045945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Urgent Care Medicine of New Jersey LLPGroup PAC ID 6002178647, 9 clinicians

Practice addresses (Care Compare)

1210 Route 130 N
Suite 1438
Cinnaminson, NJ 08077-3046
Phone (856) 829-0407

1301 Atlantic Ave
Atlantic City, NJ 08401-7247
Phone (609) 572-0000

860 S White Horse Pike
Hammonton, NJ 08037-2018
Phone (609) 567-0200

932 S Main St
Pleasantville, NJ 08232-3646
Phone (609) 383-0880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 6, 2020 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Aug 1, 2006 Accepting new patients
Southern Jersey Family Medical Centers Inc CurrentSince Aug 1, 2006 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Regional Physician Services, NJ, PC Internal Medicine Past Accepting new patients

Locations

1125 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-0066

1301 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 570-0000

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

3003 English Creek Ave
Ste C6
Egg Harbor Twp, NJ 08234
Phone (609) 481-3185

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

932 S Main St
Pleasantville, NJ 08232
Phone (609) 383-0880

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1043229065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371875",
            "telephone_number": "609-567-0200",
            "fax_number": "609-567-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017247",
            "telephone_number": "609-572-0000",
            "fax_number": "609-572-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GREGORY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05975100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6447503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.