Active NPI
Patricia C Pollan, MSN, APRN, BC
- Adult Health Nurse Practitioner
- Mount Laurel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00025800
- Practice address
- 204 Ark Rd
Suite 103
Mount Laurel, NJ 08054-3100 - Phone
- (856) 778-4756
- Fax
- (856) 778-1742
- NPI assigned
- Mar 1, 2006
- Last updated
- Oct 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00025800 | NJ | Primary |
Addresses
Primary practice location
204 Ark Rd
Suite 103
Mount Laurel, NJ 08054-3100
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
401 Young Ave Ste 260A
Moorestown, NJ 08057-3130
Phone (856) 291-8756
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ppollan14180@directvirtua.org | ||
| Direct Messaging Address | ppollan14180@directvirtua.org |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00025800 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Northeastern Urological Associates | Past | Accepting new patients | |
| Urologic Consultants of Southeastern Pennsylvania, LLP | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
401 Young Ave
Ste 260A
Moorestown, NJ 08057
Phone (856) 291-8756
Interoperability endpoints
- ppollan14180@directvirtua.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urology Physician
- Philadelphia, PA
- NPI 1255366605
-
- Radiation Oncology Physician
- Bala Cynwyd, PA
- NPI 1609161207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1396712121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340",
"fax_number": "856-355-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 ARK RD",
"address_2": "SUITE 103",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543100",
"telephone_number": "856-778-4756",
"fax_number": "856-778-1742"
}
],
"practiceLocations": [
{
"address_1": "401 Young Ave Ste 260A",
"address_purpose": "LOCATION",
"city": "Moorestown",
"state": "NJ",
"postal_code": "080573130",
"country_code": "US",
"telephone_number": "856-291-8756",
"fax_number": "856-291-8750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLAN",
"first_name": "PATRICIA",
"middle_name": "C",
"credential": "MSN, APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00025800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppollan14180@directvirtua.org",
"affiliation": "N",
"address_1": "401 Young Ave Ste 260A",
"city": "Moorestown",
"state": "NJ",
"country_code": "US",
"postal_code": "080573130",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppollan14180@directvirtua.org",
"affiliation": "N",
"address_1": "204 Ark Rd",
"address_2": "Suite 103",
"city": "Mount Laurel",
"state": "NJ",
"country_code": "US",
"postal_code": "080543100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.