Nicole C Stroup, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00104400 Issued in NJ

Practice address

222 New Rd
Linwood, NJ 08221-1299

Phone

(609) 653-6676

Fax

(609) 653-8828

NPI assigned

Jun 4, 2007

Last updated

May 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunwise Dermatology and Surgery LLCGroup PAC ID 7911272299, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Sunwise Dermatology & Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Middletown, DE
  • NPI 1386160059
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1649472358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 TRYENS DR",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083304910",
            "telephone_number": "609-407-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211299",
            "telephone_number": "609-653-6676",
            "fax_number": "609-653-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "NICOLE",
        "middle_name": "C",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00104400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stat MRI, LLC
• Jessica M Steedle, M.A.
• Sara Steinbaum, DMD
• Raymond Albert Sterling, DDS
• Madison Lacey Stern, RD
• Kerry Sullivan, LSW LCADC ICGC-1
• Sunil K. Singh, MD, PA (Neurology, Headache & Pain Relief Center)
• Surfside Psychiatry
• Surgery Center of Linwood LLC
• David O Sussman, D.O.

• Physician Assistant in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.

Verify at the official NPI Registry.