NPIMap

Individual provider Active NPI

Andrew Paul Pecora, D.O.

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1376637553
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05694000 Issued in NJ
Practice address
73 N Maple Ave Ste B
Marlton, NJ 08053-1782
Phone
(856) 596-0558
Fax
(856) 596-4043
NPI assigned
Oct 3, 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
Family Medicine Physician 207Q00000X 25MB05694000 NJ Primary

Addresses

Primary practice location

73 N Maple Ave Ste B
Marlton, NJ 08053-1782

Mailing address

73 N Maple Ave Ste B
Marlton, NJ 08053-1782
Phone (856) 596-0558

Other identifiers 1

IdentifierTypeStateIssuer
6061001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NV, NY, FL, PA5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040518000897 NJ Practitioner - Family Practice 5092705285 Reassigns benefits to 5 organizations
I20231103001233 NV Practitioner - Family Practice 5092705285 Reassigns benefits to 1 organization
I20240626003874 NY Practitioner - Family Practice 5092705285
I20240830002136 FL Practitioner - Family Practice 5092705285
I20241030002300 PA Practitioner - Family Practice 5092705285

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX Paramus, LLC 63 clinicians
Patient Care Medical Group PC 30 clinicians

Practice addresses (Care Compare)

2001 College Dr
Suite 11
Clementon, NJ 08021-5617
Phone (856) 566-3333

26 Main St
Edison, NJ 08837-3418
Phone (212) 734-6621

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Serenity Hospice Care Hospice, Trenton, NJ, CCN 311574
  • Red Oak Hospice LLC Hospice, Bridgeton, NJ, CCN 311586
  • Samaritan Healthcare and Hospice Hospice, Mount Laurel, NJ, CCN 311504
  • Vitality Hospice and Palliative Care Hospice, Burlington, NJ, CCN 311588
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Riverview Estates Rehab and Senior Living Center Nursing home, Riverton, NJ, CCN 315448
  • Mystic Meadows Rehabilitation and Nursing Center Nursing home, Little Egg Harbor TW, NJ, CCN 315456
  • Complete Care at Voorhees, LLC Nursing home, Voorhees, NJ, CCN 315219
  • Atlas Post Acute at Woodbury Country Club Nursing home, Woodbury, NJ, CCN 315521

Merit-based Incentive Payment System (MIPS)

Final score
41.84 of 100Reported as individual
Quality
35.03
Promoting interoperability
0
Improvement activities
30
Cost
33.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB05694000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRX Paramus, LLC CurrentSince Aug 24, 2025 Accepting new patients
Patient Care Medical Group PC CurrentSince Aug 1, 2021 Accepting new patients
GT Urgent Care PC CurrentSince Jan 1, 2026 Accepting new patients
Jersey Irish Medical Family Medicine CurrentSince Jan 28, 2017 Accepting new patients
Patient Care Specialty Group PC Family Medicine CurrentSince Dec 3, 2021 Accepting new patients
Patient Care Specialty Group Nevada LLC CurrentSince Sep 12, 2023 Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients
Patient Care Specialty Group Florida LLC PastSince Dec 21, 2023 Accepting new patients
Patient Care Specialty Group Ohio LLC PastSince Jul 9, 2024 Accepting new patients
Patient Care Specialty Group Pennsylvania LLC Past Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

73 N Maple Ave
Ste B
Marlton, NJ 08053
Phone (856) 596-0558

1 Holtec Dr
Ste 203
Marlton, NJ 08053
Phone (856) 874-7800

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

475 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 553-6611

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

1700 W Horizon Ridge Pkwy
Ste 204
Henderson, NV 89012
Phone (609) 521-4746

Interoperability endpoints

  • Direct secure messaging: andrew.pecora.1@29107.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Care at Voorhees LLCVoorhees, NJ, CCN 315219 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Jul 1, 2021
The Subacute at Autumn Lake HealthcareVoorhees, NJ, CCN 315513 Skilled nursing facility Adp of the SNF Feb 1, 2024
Autumn Lake Healthcare at VoorheesVoorhees, NJ, CCN 315500 Skilled nursing facility Adp of the SNF Jan 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376637553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 N MAPLE AVE STE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531782",
            "telephone_number": "856-596-0558",
            "fax_number": "856-596-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 N MAPLE AVE STE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531782",
            "telephone_number": "856-596-0558",
            "fax_number": "856-596-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORA",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05694000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6061001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.