NPIMap

Individual provider Active NPI

Teresa M Pincus, PA-C

  • Medical Physician Assistant
  • Somers Point, NJ
National Provider Identifier
1710214499
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00229300 Issued in NJ
Practice address
730 Shore Rd
Somers Point, NJ 08244-2331
Phone
(609) 927-6662
Fax
(609) 927-2942
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00229300 NJ Primary

Addresses

Primary practice location

730 Shore Rd
Somers Point, NJ 08244-2331

Mailing address

730 Shore Rd
Somers Point, NJ 08244-2331
Phone (609) 927-6662

Other names 1

  • Ms. Teresa M Endicott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000497 NJ Practitioner - Physician Assistant 7517002611 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

120 S White Horse Pike
Hammonton, NJ 08037-1804
Phone (609) 567-2573

2500 English Creek Ave
Egg Harbor Township, NJ 08234-5549

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00229300NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince May 7, 2024 Accepting new patients
Atlanticare Physician Group PA CurrentSince May 7, 2024 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

219 N White Horse Pike
Ste 101
Hammonton, NJ 08037
Phone (609) 407-2371

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1601 Tilton Rd
Northfield, NJ 08225
Phone (609) 407-1600

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1710214499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442331",
            "telephone_number": "609-927-6662",
            "fax_number": "609-927-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442331",
            "telephone_number": "609-927-6662",
            "fax_number": "609-927-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCUS",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00229300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "ENDICOTT",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.