Individual provider Active NPI

Beth Taylor, APNC

  • Family Nurse Practitioner
  • Mount Laurel, NJ
National Provider Identifier
1487106290
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00678800 Issued in NJ
Practice address
4510 Church Rd
Mount Laurel, NJ 08054-2210
Phone
(856) 439-0060
Fax
(856) 452-0344
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00678800 NJ Primary

Addresses

Primary practice location

4510 Church Rd
Mount Laurel, NJ 08054-2210

Mailing address

1740 Bayshore Rd
Villas, NJ 08251-2142
Phone (609) 886-4441

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
I20161209000151 NJ Practitioner - Nurse Practitioner 0941580955 Reassigns benefits to 5 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
New Jersey Cuidado Casero Hospice LLCGroup PAC ID 1355492703, 8 clinicians

Practice addresses (Care Compare)

415 W Landis Ave
Suite 100
Vineland, NJ 08360-8124
Phone (856) 696-5340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00678800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Dec 11, 2017 Accepting new patients
Shore Atlantic Geriatrics LLC CurrentSince Mar 15, 2019 Accepting new patients
Shore Atlantic Medicine LLC CurrentSince Oct 1, 2024 Accepting new patients
New Jersey Cuidado Casero Hospice LLC CurrentSince Feb 15, 2025 Accepting new patients
Angelic Primary Medicine LLC CurrentSince Sep 15, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 11, 2017 Accepting new patients
Intellihealth, Inc. PastSince Oct 4, 2016 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

4 Moore Rd
Cape May Court House, NJ 08210
Phone (609) 465-1206

144 Magnolia Dr
Cape May Court House, NJ 08210
Phone (609) 465-7070

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

1027 State Route 34
Matawan, NJ 07747
Phone (732) 583-9999

3809 Bayshore Rd
North Cape May, NJ 08204
Phone (609) 889-0677

700 Town Bank Rd
North Cape May, NJ 08204
Phone (609) 898-8899

2721 US Route 9
Ocean View, NJ 08230
Phone (609) 624-1715

8025 Black Horse Pike
Ste 501
Pleasantville, NJ 08232
Phone (609) 464-1135

1740 Bayshore Rd
Villas, NJ 08251
Phone (609) 886-4441

415 W Landis Ave
Ste 100
Vineland, NJ 08360
Phone (856) 696-5340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11851/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1487106290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 BAYSHORE RD",
            "city": "VILLAS",
            "state": "NJ",
            "postal_code": "082512142",
            "telephone_number": "609-886-4441",
            "fax_number": "609-889-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542210",
            "telephone_number": "856-439-0060",
            "fax_number": "856-452-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00678800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.