Active NPI
Angela Beams, PA-C
- Medical Physician Assistant
- Vineland, NJ
National Provider Identifier
1073508826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00529200
- Practice address
- 301 S Main Rd
Vineland, NJ 08360-7897 - Phone
- (856) 692-0502
- Fax
- (856) 691-1710
- NPI assigned
- Sep 19, 2005
- Last updated
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00529200 | NJ | Primary |
| Medical Physician Assistant | 363AM0700X | PA3146 | FL |
Addresses
Primary practice location
301 S Main Rd
Vineland, NJ 08360-7897
Mailing address
301 S Main Rd
Vineland, NJ 08360-7897
Phone (856) 692-0502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970022448 | Other | FL | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3146 | FL | MD | Medical Physician Assistant |
| 25MP00529200 | NJ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W Peter Graper MD PA | Past | Accepting new patients | |
| Ambulatory Care Physicians of Sarasota LLC | Past | Accepting new patients | |
| Thomas F. Kelly, MD, PA | Past | Accepting new patients |
Organizations & group practices 4
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.
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- General Practice Physician
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- NPI 1417986084
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sarasota, FL
- NPI 1639318835
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sarasota, FL
- NPI 1366624249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1073508826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S MAIN RD",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607897",
"telephone_number": "856-692-0502",
"fax_number": "856-691-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S MAIN RD",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607897",
"telephone_number": "856-692-0502",
"fax_number": "856-691-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMS",
"first_name": "ANGELA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00529200",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA3146",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "970022448",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.