Individual provider Active NPI

Charles McGlade, MSN, APN

  • Family Nurse Practitioner
  • Mullica Hill, NJ
National Provider Identifier
1487184701
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00718400 Issued in NJ
Practice address
201 Tomlin Station Rd
Mullica Hill, NJ 08062-1612
Phone
(856) 241-2500
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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 26NJ00718400 NJ Primary

Addresses

Primary practice location

201 Tomlin Station Rd
Mullica Hill, NJ 08062-1612

Mailing address

12 Grange CT
Woodstown, NJ 08098-1253
Phone (856) 649-6101

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
I20170811001071 NJ Practitioner - Nurse Practitioner 0840561643 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
Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians
Inspira SJ Urgent Care PCGroup PAC ID 0749566958, 29 clinicians

Practice addresses (Care Compare)

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-1500

3722 E Landis Ave
Suite Iandj
Vineland, NJ 08361-7926
Phone (856) 213-5900

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00718400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira SJ Urgent Care PC CurrentSince Jan 21, 2018 Accepting new patients
Inspira Health Network Urgent Care, P.C. CurrentSince Jul 10, 2017 Accepting new patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations

200 Rowan Blvd
Glassboro, NJ 08028
Phone (856) 582-0500

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

201 Tomlin Station Rd
Mullica Hill, NJ 08062
Phone (856) 241-2500

3722 E Landis Ave
Ste I
Vineland, NJ 08361
Phone (856) 213-5900

3722 E Landis Ave
Ste Ij
Vineland, NJ 08361
Phone (856) 213-5900

3722 E Landis Ave
Unit 1
Vineland, NJ 08361
Phone (856) 213-5900

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1487184701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GRANGE CT",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981253",
            "telephone_number": "856-649-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TOMLIN STATION RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621612",
            "telephone_number": "856-241-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLADE",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MSN, APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00718400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.