Individual provider Active NPI

Angelina O'Toole

  • Gerontology Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1336864974
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01379200 Issued in NJ
Practice address
1364 Route 72 W
Manahawkin, NJ 08050-2485
Phone
(609) 836-6602
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01379200 NJ Primary

Addresses

Primary practice location

1364 Route 72 W
Manahawkin, NJ 08050-2485

Mailing address

15 Ocean Blvd
Little Egg Harbor TWP, NJ 08087-1007

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
I20230117000036 NJ Practitioner - Nurse Practitioner 2365813045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians

Practice addresses (Care Compare)

1364 Route 72 W
Manahawkin, NJ 08050-2485
Phone (609) 597-3417

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200

212 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 621-2075

415 Chris Gaupp Dr
Suite C
Galloway, NJ 08205-4440
Phone (609) 748-7580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.95 of 100Reported as group
Quality
71.98
Promoting interoperability
90
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Dec 12, 2022 Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Dec 12, 2022 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

1364 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-3416

1364 Route 72 W
Ste 5
Manahawkin, NJ 08050
Phone (609) 978-0778

1364 Route 72 W
Ste 56
Manahawkin, NJ 08050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4

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.

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1336864974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OCEAN BLVD",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080871007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502485",
            "telephone_number": "609-836-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TOOLE",
        "first_name": "ANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01379200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.