NPIMap

Individual provider Active NPI

Gregg A Pearson, DO

  • Family Medicine Physician
  • Waterford, NJ
National Provider Identifier
1083645972
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB72474 Issued in NJ
Practice address
369S White Horse Pike
Waterford, NJ 08089-1741
Phone
(609) 561-5900
Fax
(609) 561-8989
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB72474 NJ Primary

Addresses

Primary practice location

369S White Horse Pike
Waterford, NJ 08089-1741

Mailing address

19 Village Dr
Voorhees, NJ 08043-4180
Phone (609) 561-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804000019 NJ Practitioner - Family Practice 0941271977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

369 S White Horse Pike
Waterford Works, NJ 08089-1741
Phone (609) 561-0970

Hospital & facility affiliations

  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Holy Redeemer Home Care NJ South Home health agency, Runnemede, NJ, CCN 317025
  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Samaritan Healthcare and Hospice Hospice, Mount Laurel, NJ, CCN 311504
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB72474NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg a Pearson DO PC CurrentSince Jan 1, 2012 Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients
M.K. Dovnarsky,M.D.,P.C. Past Accepting new patients
The Cooper Health System Past Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients

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 10

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1083645972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 VILLAGE DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434180",
            "telephone_number": "609-561-5900",
            "fax_number": "609-561-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369S WHITE HORSE PIKE",
            "city": "WATERFORD",
            "state": "NJ",
            "postal_code": "080891741",
            "telephone_number": "609-561-5900",
            "fax_number": "609-561-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "GREGG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB72474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, NJ

Sources for this page

Verify at the official NPI Registry.