Individual provider Active NPI

Lauren Cincotta, PA-C

  • Medical Physician Assistant
  • Linwood, NJ
National Provider Identifier
1083852792
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00212100 Issued in NJ
Practice address
2106 New Rd
Ste D4
Linwood, NJ 08221-1046
Phone
(609) 926-8899
Fax
(609) 653-8713
NPI assigned
Feb 3, 2009
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00212100 NJ Primary

Addresses

Primary practice location

2106 New Rd
Ste D4
Linwood, NJ 08221-1046

Mailing address

2106 New Rd
Ste D4
Linwood, NJ 08221-1046
Phone (609) 926-8899

Other identifiers 1

IdentifierTypeStateIssuer
25MP00212100OtherNJNJ LICENSE NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000512 NJ Practitioner - Physician Assistant 3173654910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coyle S Connolly DO PAGroup PAC ID 2961498118, 32 clinicians

Practice addresses (Care Compare)

108 Roosevelt Blvd
Marmora, NJ 08223-1403
Phone (609) 926-8899

2106 New Rd
Linwood, NJ 08221-1050
Phone (609) 926-8899

220 Brighton Rd
Cape May Court House, NJ 08210-2102
Phone (609) 926-8899

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
95.33
Promoting interoperability
86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00212100NJMDMedical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1083852792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NEW RD",
            "address_2": "STE D4",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211046",
            "telephone_number": "609-926-8899",
            "fax_number": "609-653-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD",
            "address_2": "STE D4",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211046",
            "telephone_number": "609-926-8899",
            "fax_number": "609-653-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINCOTTA",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00212100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE NUMBER",
            "identifier": "25MP00212100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.