Individual provider Active NPI

Ronald J Soucier, D.O.

  • Internal Medicine Physician
  • Egg Harbor Township, NJ
National Provider Identifier
1184667693
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB04430100 Issued in NJ
Practice address
2500 English Creek Ave
Building 200, Suite 214
Egg Harbor Township, NJ 08234-5549
Phone
(609) 909-0200
Fax
(609) 909-0267
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB04430100 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave
Building 200, Suite 214
Egg Harbor Township, NJ 08234-5549

Mailing address

312 E Seabright Rd
Ocean City, NJ 08226-4505
Phone (609) 289-2429

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000918 NJ Practitioner - Internal Medicine 5991748642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
214 Apg Pavilion OB/GYN
Egg Harbor Township, NJ 08234-5598
Phone (609) 677-7211

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066
  • Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB04430100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Oct 5, 2015 Accepting new patients
Atlanticare Physician Group CurrentSince Oct 5, 2015 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

2500 English Creek Ave
Ste 214
Egg Harbor Twp, NJ 08234
Phone (609) 909-0200

2500 English Creek Ave
Ste 222
Egg Harbor Twp, NJ 08234
Phone (609) 382-5066

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

5401 Harding Hwy
Ste 5
Mays Landing, NJ 08330
Phone (609) 625-5400

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1184667693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E SEABRIGHT RD",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082264505",
            "telephone_number": "609-289-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BUILDING 200, SUITE 214",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-909-0200",
            "fax_number": "609-909-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCIER",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB04430100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.