Michael Lowe, APN

Individual provider Active NPI Nurse Practitioner · Little Egg Harbor, NJ

NPI 1114698594 · NPPES record last updated Sep 24, 2021

Key facts

NPI
1114698594
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
26NJ01184900 (NJ)
Practice address
9 Alexandra Way Little Egg Harbor
Little Egg Harbor, NJ 08087
Phone
(732) 682-5105
NPI assigned
Sep 24, 2021
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

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: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211021000871 NJ Practitioner - Nurse Practitioner 5799173944 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Medicine of South Jersey LLC Current
since Oct 12, 2021
Accepting new patients

Locations

601 Route 73 N
Ste 104
Marlton, NJ 08053
Phone (609) 886-8585

1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01184900 NJ Yes

Addresses

Primary practice location

9 Alexandra Way Little Egg Harbor
Little Egg Harbor, NJ 08087

Mailing address

9 Alexandra Way Little Egg Harbor
Little Egg Harbor, NJ 08087
Phone (732) 682-5105

Other providers in Little Egg Harbor, NJ

All providers in Little Egg Harbor, NJ · Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.