Joseph W Purcell, D.O.
Individual provider Active NPI Family Medicine Physician · Landing, NJ
NPI 1083676910 · NPPES record last updated Dec 10, 2021
Key facts
- NPI
- 1083676910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MB053161 (NJ)
- Practice address
- 150 Lakeside Blvd
Landing, NJ 07850-1119 - Phone
- (973) 398-6300
- Fax
- (973) 398-6399
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Consensus Medical Group LLC
Practice addresses (Care Compare)
150 Lakeside Blvd
Landing, NJ 07850-1144
Phone (973) 398-6300
Hospital & facility affiliations
- Visiting Nurse Assoc of Northern New Jersey, Inc
- Saint Clare'S Hospital/ Denville Campus
- Morristown Medical Center
- Ahs Hospital Corp
- Kessler Rehab Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100330000613 | NJ | Practitioner - Family Practice | 3375583784 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB053161 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Family Medicine | Current |
Accepting new patients |
| Consensus Medical Group LLC | Current |
Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888
150 Lakeside Blvd
Landing, NJ 07850
Phone (973) 398-6300
174 Edison Rd
Lk Hopatcong, NJ 07849
Phone (973) 663-1300
404 Lippincott Dr
Marlton, NJ 08053
170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540
33 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 383-2971
Interoperability endpoints
- joseph.purcell.1@18614.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB053161 | NJ | Yes |
Addresses
Primary practice location
150 Lakeside Blvd
Landing, NJ 07850-1119
Mailing address
404 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7890800 | Medicaid | NJ |
NPI Registry JSON
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1083676910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534112",
"telephone_number": "856-782-3300",
"fax_number": "856-504-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LAKESIDE BLVD",
"city": "LANDING",
"state": "NJ",
"postal_code": "078501119",
"telephone_number": "973-398-6300",
"fax_number": "973-398-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "JOSEPH",
"middle_name": "W",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB053161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7890800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Landing, NJ
- Alexandra Murray
- Rajshree Patel
- Pathmark Stores Inc
- Stephanie Lynn Pavese
- Premier Dentistry of Morris
- Rem New Jersey, Inc.
- Sandee Garrett LLC
- Shefali A Shah
- Kaitlyn Taylor
- Tender Care
All providers in Landing, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.