Individual provider Active NPI

Teresa Louise Conner, APN

  • Family Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1629481528
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00488800 Issued in NJ
Practice address
1 Eves Dr Ste 109
Marlton, NJ 08053-3125
Phone
(856) 797-8886
NPI assigned
Jun 9, 2014
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 26NJ00488800 NJ Primary

Addresses

Primary practice location

1 Eves Dr Ste 109
Marlton, NJ 08053-3125

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 797-8886

Other practice location 1

4000 Route 130 Bldg C
Delran, NJ 08075-2414
Phone (856) 705-0685

Other names 1

  • Teresa Louise Campo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJExchange@patientfirstclinics.com Health Information Exchange (HIE)

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
I20140905001945 NJ Practitioner - Nurse Practitioner 5395963243 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4000 Route 130 N
BLDG C
Delran, NJ 08075-2414
Phone (856) 705-0685

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00488800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waters Medical House Calls CurrentSince Nov 5, 2019 Accepting new patients
Patients First Maryland Physicians Group P C CurrentSince Dec 11, 2023 Accepting new patients
Patient First New Jersey Physicians Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Longevity Clinical LTC Associates of New Jersey CurrentSince Feb 11, 2022 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince May 26, 2020 Accepting new patients
Patient First New Jersey Physicians Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Advocare, LLC CurrentSince Dec 15, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 4, 2014 Accepting new patients
Advocare , LLC CurrentSince Dec 15, 2022 Accepting new patients
Patient First Maryland Physician's Group PC CurrentSince Dec 11, 2023 Accepting new patients

Locations

11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1412 Marlton Pike E
Cherry Hill, NJ 08034
Phone (856) 428-1600

4000 Route 130
Delran, NJ 08075
Phone (856) 544-9051

4000 Route 130
Bldg C
Delran, NJ 08075
Phone (856) 705-0685

4000 Route 130
Ste 1
Delran, NJ 08075
Phone (856) 705-0685

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

255 E Main St
Moorestown, NJ 08057
Phone (856) 235-1214

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

780 New Brunswick Rd
Somerset, NJ 08873
Phone (732) 653-3000

630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220

L2540
Columbus, OH 43260

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: njexchange@patientfirstclinics.com

Organizations & group practices 11

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1629481528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "856-797-8886",
            "fax_number": "856-797-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EVES DR STE 109",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533125",
            "telephone_number": "856-797-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Route 130 Bldg C",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "080752414",
            "country_code": "US",
            "telephone_number": "856-705-0685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "TERESA",
        "middle_name": "LOUISE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00488800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4000 Route 130 Bldg C",
            "city": "Delran",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080752414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "CAMPO",
            "middle_name": "LOUISE",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.