Individual provider Active NPI

Erin Anne Esposito, PSY.D.

  • Clinical Neuropsychologist
  • Cherry Hill, NJ
National Provider Identifier
1255003182
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS019115 Issued in PA
Practice address
1103 Kings Hwy N Ste 101
Cherry Hill, NJ 08034-1983
Phone
(484) 802-0576
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PS019115 PA Primary

Addresses

Primary practice location

1103 Kings Hwy N Ste 101
Cherry Hill, NJ 08034-1983

Mailing address

5406 Drawbridge CT
Royersford, PA 19468-1387
Phone (484) 802-0576

Other names 1

  • Erin Anne Hyland Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230111000379 NJ Practitioner - Clinical Psychologist 1355733981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

3 Cooper PLZ
RM 104
Camden, NJ 08103-1407
Phone (856) 968-7965

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS019115PAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA Single Specialty CurrentSince Nov 12, 2021 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Nov 12, 2021 Accepting new patients

Locations

3 Cooper Plz
Ste 102A
Camden, NJ 08103

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1103 Kings Hwy N
Ste 101
Cherry Hill, NJ 08034
Phone (609) 865-1954

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1255003182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 DRAWBRIDGE CT",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681387",
            "telephone_number": "484-802-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KINGS HWY N STE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341983",
            "telephone_number": "484-802-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "ERIN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS019115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "HYLAND",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.