Individual provider Active NPI

Cody Paul Collins, PA-C

  • Medical Physician Assistant
  • Linwood, NJ
National Provider Identifier
1215523741
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00775900 Issued in NJ
Practice address
1801 New Rd
Linwood, NJ 08221-1036
Phone
(609) 208-8969
Fax
(833) 606-0167
NPI assigned
Dec 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00775900 NJ Primary
Medical Physician Assistant 363AM0700X MA062214 PA

Addresses

Primary practice location

1801 New Rd
Linwood, NJ 08221-1036

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

789 E Lancaster Ave
Villanova, PA 19085-1522
Phone (215) 503-9070

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
I20240614000245 NJ Practitioner - Physician Assistant 5890238273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Suite A2
Voorhees, NJ 08043-3512
Phone (856) 566-8600

1801 New Rd
Linwood, NJ 08221-1036
Phone (609) 208-8969

2500 English Creek Ave
BLDG 1200 2ND Floor Apg Surgical Specialtie
Egg Harbor Township, NJ 08234-5598
Phone (609) 833-9833

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

807 N Haddon Ave
Suite 1
Haddonfield, NJ 08033-1749
Phone (856) 330-6260

Hospital & facility affiliations

  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00775900NJMDMedical Physician Assistant
MA062214PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine, LLC Medical CurrentSince Jun 15, 2024 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 2, 2025 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Premier Brain and Spine LLC CurrentSince Jun 15, 2024 Accepting new patients

Locations

10 Parsonage Rd
Ste 208
Edison, NJ 08837
Phone (732) 688-9083

2500 English Creek Ave
Ste 1200
Egg Harbor Twp, NJ 08234
Phone (609) 704-1980

1801 New Rd
Linwood, NJ 08221
Phone (609) 208-8969

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

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22648/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cody.collins.1@21449.direct.athenahealth.com

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 1

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1215523741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211036",
            "telephone_number": "609-208-8969",
            "fax_number": "833-606-0167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Villanova",
            "state": "PA",
            "postal_code": "190851522",
            "country_code": "US",
            "telephone_number": "215-503-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CODY",
        "middle_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-18",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00775900",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.