Individual provider Active NPI

Terry L Rollins, M.D.

  • Dermatology Physician
  • Voorhees, NJ
National Provider Identifier
1235119116
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA07382600 Issued in NJ
Practice address
707 White Horse Rd
Suite C103
Voorhees, NJ 08043-2461
Phone
(856) 627-1900
Fax
(856) 627-6907
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA07382600 NJ Primary

Addresses

Primary practice location

707 White Horse Rd
Suite C103
Voorhees, NJ 08043-2461

Mailing address

2703 Leeds Ave
Northfield, NJ 08225-1455
Phone (609) 484-8814

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
I20050126000269 NJ Practitioner - Dermatology 7416907639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Paolini, DO, PCGroup PAC ID 9133187768, 5 clinicians

Practice addresses (Care Compare)

105 N Main St
Cape May Court House, NJ 08210-2119
Phone 6094658788110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision153
Removal of skin lesions3616
Removal or shaving of skin growth31
Skin biopsy780

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Paolini, DO, PC Dermatology CurrentSince Jan 9, 2007 Accepting new patients
Grace U Chung MD PC Dermatology Past Accepting new patients

Locations

105 N Main St
Cape May Court House, NJ 08210
Phone (609) 465-8788

Interoperability endpoints

  • Direct secure messaging: terry.rollins@paoliniskin.directbygreenway.com

Organizations & group practices 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235119116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 LEEDS AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251455",
            "telephone_number": "609-484-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD",
            "address_2": "SUITE C103",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "856-627-1900",
            "fax_number": "856-627-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "TERRY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07382600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.