Individual provider Active NPI

Brendan P Magerr, PA-C

  • Physician Assistant
  • Marlton, NJ
National Provider Identifier
1699281774
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059657 Issued in PA
Practice address
999 Route 73 N Ste 301&401
Marlton, NJ 08053-1227
Phone
(856) 821-6360
Fax
(856) 821-6361
NPI assigned
Dec 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059657 PA Primary

Addresses

Primary practice location

999 Route 73 N Ste 301&401
Marlton, NJ 08053-1227

Mailing address

833 Chestnut St Ste 1402
Philadelphia, PA 19107-4404
Phone (267) 507-9100

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
I20180117002255 PA Practitioner - Physician Assistant 9830458991 Reassigns benefits to 1 organization
I20180221000557 NJ Practitioner - Physician Assistant 9830458991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

825 Old Lancaster Rd
Bryn Mawr, PA 19010-3231
Phone (800) 321-9999

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059657PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Jan 30, 2018 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 2, 2018 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Interoperability endpoints

  • Direct secure messaging: brendan.magerr@rot.eclinicaldirectplus.com

Organizations & group practices 4

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": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1699281774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 1402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074404",
            "telephone_number": "267-507-9100",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ROUTE 73 N STE 301&401",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531227",
            "telephone_number": "856-821-6360",
            "fax_number": "856-821-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGERR",
        "first_name": "BRENDAN",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.