Individual provider Active NPI

Victoria J Newbold, CRNP

  • Nurse Practitioner
  • Egg Harbor Township, NJ
National Provider Identifier
1093837643
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00826800 Issued in NJ
Practice address
3100 Hingston Ave Ste 102
Egg Harbor Township, NJ 08234-4409
Phone
(888) 985-2727
NPI assigned
Apr 4, 2007
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00826800 NJ Primary

Addresses

Primary practice location

3100 Hingston Ave Ste 102
Egg Harbor Township, NJ 08234-4409

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (888) 985-2727

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
I20180831000798 NJ Practitioner - Nurse Practitioner 4789623265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain LLCGroup PAC ID 0648358234, 43 clinicians

Practice addresses (Care Compare)

1400 Route 70 E
Cherry Hill, NJ 08034-2240

2 8TH St
Hammonton, NJ 08037-3347
Phone (888) 985-2727

3100 Hingston Ave
Suite 104
Egg Harbor Township, NJ 08234-4409
Phone (888) 985-2727

415 W Landis Ave
Suite 102 Relievus
Vineland, NJ 08360-8135
Phone (888) 985-2727

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
69.54
Promoting interoperability
95
Improvement activities
40
Cost
75.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00826800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain LLC CurrentSince Dec 1, 2018 Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Dec 1, 2018 Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients

Locations

201 Defense Hwy
Ste 205
Annapolis, MD 21401

429 White Horse Pike
Atco, NJ 08004
Phone (856) 753-1111

1400 Marlton Pike E
Ste 70
Cherry Hill, NJ 08034

3100 Hingston Ave
Ste 104
Egg Harbor Twp, NJ 08234

2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500

27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 836-3200

227 Madison Ave
Lumberton, NJ 08048
Phone (609) 261-7562

1820 Corlies Ave
Ste 10A
Neptune City, NJ 07753
Phone 8889852727 ext. 610

4307 Westfield Ave
Pennsauken, NJ 08110
Phone (856) 488-0222

310 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-4500

415 W Landis Ave
Ste 102
Vineland, NJ 08360
Phone (609) 653-9110

750 Mantua Pike
Woodbury Hts, NJ 08097
Phone (215) 694-5261

Interoperability endpoints

  • Direct secure messaging: victoria.newbold.1@11679.direct.athenahealth.com

Organizations & group practices 3

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1093837643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "888-985-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HINGSTON AVE STE 102",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344409",
            "telephone_number": "888-985-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBOLD",
        "first_name": "VICTORIA",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00826800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.