Individual provider Active NPI

Rachel Wint, PA-C

  • Surgical Physician Assistant
  • Mount Laurel, NJ
National Provider Identifier
1649751843
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00481500 Issued in NJ
Practice address
15000 Midlantic Dr Ste 100
Mount Laurel, NJ 08054-1573
Phone
(877) 388-2778
Fax
(856) 252-1100
NPI assigned
Aug 24, 2018
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00481500 NJ
Physician Assistant 363A00000X OA004695 PA
Physician Assistant 363A00000X MA060057 PA
Surgical Physician Assistant 363AS0400X 25MP00481500 NJ Primary

Addresses

Primary practice location

15000 Midlantic Dr Ste 100
Mount Laurel, NJ 08054-1573

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200929000898 PA Practitioner - Physician Assistant 1052730884 Reassigns benefits to 1 organization
I20240829003099 NJ Practitioner - Physician Assistant 1052730884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA060057PAMDPhysician Assistant
OA004695PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Consultants of Southeastern Pennsylvania LLP Current Accepting new patients
Summit Medical Group PA CurrentSince Aug 12, 2024 Accepting new patients
Alliance Physician Services, PC CurrentSince Jun 20, 2020 Accepting new patients
Alliance Physician Services, PC CurrentSince Jun 20, 2020 Accepting new patients
Summit Medical Group PA CurrentSince Aug 12, 2024 Accepting new patients
Summit Medical Group, Inc Physician Assistant Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

231 N Broad St
Fl 2
Philadelphia, PA 19107
Phone (215) 762-3200

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462
Phone (484) 530-0205

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (484) 253-1697

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: rachelwint@midlantic.medalliesdirect.net
  • Direct secure messaging: rwint25862@njurology.direct-ci.com

Organizations & group practices 7

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.

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1649751843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 MIDLANTIC DR STE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541573",
            "telephone_number": "877-388-2778",
            "fax_number": "856-252-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINT",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00481500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004695",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060057",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00481500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.