Individual provider Active NPI

Richard D. Pileggi, PA-C

  • Physician Assistant
  • Mount Laurel, NJ
National Provider Identifier
1487693768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101868 Issued in FL
Practice address
4000 Church Rd
Mount Laurel, NJ 08054-1110
Phone
(856) 222-4444
Fax
(856) 222-4733
NPI assigned
Jun 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Physician Assistant 363A00000X PA9101868 FL Primary

Addresses

Primary practice location

4000 Church Rd
Mount Laurel, NJ 08054-1110

Mailing address

4000 Church Rd
Mount Laurel, NJ 08054-1110
Phone (856) 222-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Jan 19, 2015 Accepting new patients
Temple Physician Inc. CurrentSince Mar 1, 2016 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Nov 10, 2017 Accepting new patients
Drexel University CurrentSince Jan 19, 2015 Accepting new patients
Temple Physicians Inc. CurrentSince Mar 1, 2016 Accepting new patients
FL-I Medical Services, LLC Physician Assistant CurrentSince Nov 10, 2017 Accepting new patients
Brevard Emergency Services Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Atlantic Professional Services of New Jersey, P.a. Physician Assistant Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

230 N Broad St
Philadelphia, PA 19102
Phone (215) 255-3828

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487693768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541110",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541110",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILEGGI",
        "first_name": "RICHARD",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.