NPIMap

Individual provider Active NPI

Theresa Robinson, RN

  • Gerontology Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1346696945
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00637000 Issued in NJ
Practice address
200 Bowman Dr
Suite 355
Voorhees, NJ 08043-9623
Phone
(856) 428-7700
Fax
(856) 247-7511
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00637000 NJ Primary
Registered Nurse 163W00000X 26NO10351300 NJ

Addresses

Primary practice location

200 Bowman Dr
Suite 355
Voorhees, NJ 08043-9623

Mailing address

7000 Atrium Way
Suite 6
Mount Laurel, NJ 08054-3917
Phone (856) 206-4508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160908002215 NJ Practitioner - Nurse Practitioner 4688960131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Healthcare and Hospice IncGroup PAC ID 3375584667, 22 clinicians

Practice addresses (Care Compare)

3906 Church Rd
Mount Laurel, NJ 08054-1108
Phone (856) 552-3261

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
72.06
Improvement activities
40
Cost
72.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO10351300NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Sep 1, 2016 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Samaritan Healthcare & Hospice, Inc. CurrentSince Dec 17, 2017 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2016 Accepting new patients
Virtua Surgical Group, P.a Past Accepting new patients
Samaritan Homevisit Physicians PC Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

3906 Church Rd
#P
Mount Laurel, NJ 08054
Phone (856) 552-3261

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292

3906 Church Rd
Ste 100
Mount Laurel, NJ 08054

200 Bowman Dr
Ste E325
Voorhees, NJ 08043
Phone (856) 247-7420

200 Bowman Dr
Ste 355
Voorhees, NJ 08043
Phone (856) 274-7210

Organizations & group practices 7

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 5

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1346696945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ATRIUM WAY",
            "address_2": "SUITE 6",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543917",
            "telephone_number": "856-206-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR",
            "address_2": "SUITE 355",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "856-428-7700",
            "fax_number": "856-247-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "THERESA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00637000",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO10351300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.