Active NPI
Diane McQuillen, D.O.
- Internal Medicine Physician
- Egg Harbor Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MB10720200
- Practice address
- 3003 English Creek Ave Ste C6
Egg Harbor Township, NJ 08234-4818 - Phone
- (609) 481-3185
- Fax
- (609) 704-5615
- NPI assigned
- Apr 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS019488 | PA | |
| Internal Medicine Physician | 207R00000X | 25MB10720200 | NJ | Primary |
Addresses
Primary practice location
3003 English Creek Ave Ste C6
Egg Harbor Township, NJ 08234-4818
Mailing address
PO Box 1309
Marlton, NJ 08053-6309
Phone (609) 567-0200
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3003 English Creek Ave
Suite C
Egg Harbor Township, NJ 08234-4892
Phone (609) 481-3185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019488 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Jersey Family Medical Centers, Inc | Current | Accepting new patients | |
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| The Osborn Family Health Center, Inc. | Current | Accepting new patients | |
| The Osborn Family Health Center, Inc. | Current | Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc. | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc. | Past | Accepting new patients | |
| Inspira Health Network Medical Group, P.C. | Past | Accepting new patients | |
| Atlanticare Regional Medical Center | Past | Accepting new patients |
Locations
1601 Haddon Ave
Camden, NJ 08103
Phone (856) 757-3700
3003 English Creek Ave
Ste C6
Egg Harbor Twp, NJ 08234
Phone (609) 481-3185
860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72983
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Hammonton, NJ
- NPI 1568473973
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
- Family Medicine Physician
- Camden, NJ
- NPI 1528444254
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
- Federally Qualified Health Center (FQHC)
- Atlantic City, NJ
- NPI 1285758318
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1730695305
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
-
- Federally Qualified Health Center (FQHC)
- Egg Harbor Township, NJ
- NPI 1891222923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1609262179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1309",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080536309",
"telephone_number": "609-567-0200",
"fax_number": "609-704-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 ENGLISH CREEK AVE STE C6",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082344818",
"telephone_number": "609-481-3185",
"fax_number": "609-704-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILLEN",
"first_name": "DIANE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-12",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS019488",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB10720200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.