Active NPI
Franzie Edquilag, PA-C
- Physician Assistant
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00441500
- Practice address
- 630 Mantua Pike
Woodbury, NJ 08096-3233 - Phone
- (856) 812-2220
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | 25MP00441500 | NJ | Primary |
Addresses
Primary practice location
630 Mantua Pike
Woodbury, NJ 08096-3233
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700
Other practice location 1
1825 Route 35
Wall Township, NJ 07719-3541
Phone (732) 280-2600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NJExchange@patientfirstclinics.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2171 Route 70 W
Cherry Hill, NJ 08002-2733
Phone (856) 705-0685
4000 Route 130 N
BLDG C
Delran, NJ 08075-2414
Phone (856) 705-0685
606 Cross Keys Rd
Sicklerville, NJ 08081-9513
Phone (856) 237-1016
630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220
705 Haddonfield Berlin Rd
Voorhees, NJ 08043-3714
Phone (856) 679-0537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00441500 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patients First Maryland Physicians Group P C | Current | Accepting new patients | |
| Patient First Maryland Physician'S Group PC | Current | Accepting new patients | |
| Patient First New Jersey Physicians Group LLC | Current | Accepting new patients |
Locations
630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
Interoperability endpoints
- hackensackmeridian.franzieedquilag@136290.advancedmd-direct.com
- njexchange@patientfirstclinics.com
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.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1285317750
NJ
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1982733564
NJ
-
- Emergency Medicine Physician
- Woodbury, NJ
- NPI 1992972830
-
- Family Medicine Physician
- Woodbury, NJ
- NPI 1396528980
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1114477270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1114457066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-968-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 MANTUA PIKE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080963233",
"telephone_number": "856-812-2220"
}
],
"practiceLocations": [
{
"address_1": "1825 Route 35",
"address_purpose": "LOCATION",
"city": "Wall Township",
"state": "NJ",
"postal_code": "077193541",
"country_code": "US",
"telephone_number": "732-280-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDQUILAG",
"first_name": "FRANZIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00441500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NJExchange@patientfirstclinics.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "630 Mantua Pike",
"city": "Woodbury",
"state": "NJ",
"country_code": "US",
"postal_code": "080963233",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.