Individual provider Active NPI

Daniel Taylor

  • Interventional Pain Medicine Physician
  • Moorestown, NJ
National Provider Identifier
1083106702
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA11883600 Issued in NJ
Practice address
300 W Route 38 Ste a
Moorestown, NJ 08057-3424
Phone
(856) 673-3960
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA11883600 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA11883600 NJ Primary

Addresses

Primary practice location

300 W Route 38 Ste a
Moorestown, NJ 08057-3424

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

1015 Walnut St Ste 620
Philadelphia, PA 19107-5005
Phone (215) 955-6864

Other practice location 2

200 Bowman Dr Ste E100
Voorhees, NJ 08043-9648
Phone (856) 673-3960

Other practice location 3

131 Route 70 Ste 100A
Medford, NJ 08055-9501
Phone (856) 673-3960

Other practice location 4

570 Egg Harbor Rd Ste C4A
Sewell, NJ 08080-2359
Phone (856) 256-0051

Other practice location 5

994 W Sherman Ave
Vineland, NJ 08360-6937
Phone (856) 696-0900

Other practice location 6

243 US Highway 130 Ste 100
Bordentown, NJ 08505-2137
Phone (609) 267-9400

Other practice location 7

614 Lambs Rd Unit C
Pitman, NJ 08071-2023
Phone (856) 256-0051

Other practice location 8

63 Kresson Rd Ste 103
Cherry Hill, NJ 08034-3200
Phone (856) 784-4444

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
I20230908002245 NJ Practitioner - Anesthesiology 5890046585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Methodist Associates in Healthcare of New Jersey, P.C.Group PAC ID 4981965324, 136 clinicians

Practice addresses (Care Compare)

200 Bowman Dr
Suite E365
Voorhees, NJ 08043-9639
Phone (856) 247-7295

2103 Mount Holly Rd
Burlington, NJ 08016-4157
Phone (609) 747-9200

243 Route 130
Suite 100
Bordentown, NJ 08505-2137
Phone (609) 267-9400

3242 Route 206
Bordentown, NJ 08505-4517

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (833) 958-2198

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2023 Accepting new patients
Virtua Medical Group, PA Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Virtua Medical Group, PA Anesthesiology CurrentSince Oct 8, 2023 Accepting new patients
Reconstructive Orthopedics, PA Orthopaedic Surgery Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630

63 Kresson Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 427-9004

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Marlton, NJ 08053

300 W Route 38
Ste A
Moorestown, NJ 08057
Phone (856) 673-3960

614 Lambs Rd
Unit C
Pitman, NJ 08071
Phone (856) 256-0051

570 Egg Harbor Rd
Ste C4A
Sewell, NJ 08080
Phone (856) 256-0051

994 W Sherman Ave
Vineland, NJ 08360
Phone (856) 696-0900

200 Bowman Dr
Ste E100
Voorhees, NJ 08043
Phone (856) 673-3960

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1083106702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ROUTE 38 STE A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573424",
            "telephone_number": "856-673-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Walnut St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075005",
            "country_code": "US",
            "telephone_number": "215-955-6864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Ste E100",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439648",
            "country_code": "US",
            "telephone_number": "856-673-3960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Route 70 Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080559501",
            "country_code": "US",
            "telephone_number": "856-673-3960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Egg Harbor Rd Ste C4A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "856-256-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "994 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606937",
            "country_code": "US",
            "telephone_number": "856-696-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 US Highway 130 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085052137",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 Lambs Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "Pitman",
            "state": "NJ",
            "postal_code": "080712023",
            "country_code": "US",
            "telephone_number": "856-256-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Kresson Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343200",
            "country_code": "US",
            "telephone_number": "856-784-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA11883600",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA11883600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.