Individual provider Active NPI

William M McLean, APN

  • Family Nurse Practitioner
  • Bridgeton, NJ
National Provider Identifier
1558368357
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN05681700 Issued in NJ
Practice address
86 Ramah Rd
Bridgeton, NJ 08302-6944
Phone
(609) 501-1549
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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 26NN05681700 NJ Primary

Addresses

Primary practice location

86 Ramah Rd
Bridgeton, NJ 08302-6944

Mailing address

PO Box 64
Fairton, NJ 08320-0064
Phone (609) 501-1549

Other identifiers 1

IdentifierTypeStateIssuer
7264704MedicaidNJ

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
I20070905000011 NJ Practitioner - Nurse Practitioner 0840383063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelcare Alliance LLCGroup PAC ID 0941470082, 20 clinicians

Practice addresses (Care Compare)

2020 E Chestnut Ave
Vineland, NJ 08361-8432
Phone (856) 563-1600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Alliance, LLC CurrentSince Jan 10, 2018 Accepting new patients
Community Health Care, Inc. CurrentSince Feb 4, 2017 Accepting new patients
Community Health Care, Inc. CurrentSince Feb 4, 2017 Accepting new patients
Cumberland Orthopedic Professional Association Current Accepting new patients
Orthopaedic Specialty Group LLC Past Accepting new patients
Dendrinos Medical Associates, P.a. PastSince Jan 10, 2018 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

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

2020 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 563-1600

2848 S Delsea Dr
Ste 1
Vineland, NJ 08360
Phone (856) 696-2010

1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718

49 S State St
Vineland, NJ 08360
Phone (856) 696-3463

Interoperability endpoints

  • Direct secure messaging: william.mclean.3@12810.direct.athenahealth.com
  • Direct secure messaging: william.mclean.2@12810.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12810/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1558368357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "FAIRTON",
            "state": "NJ",
            "postal_code": "083200064",
            "telephone_number": "609-501-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 RAMAH RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083026944",
            "telephone_number": "609-501-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN05681700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7264704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.