Individual provider Active NPI

Rachelle Coughlin, NP-C

  • Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1710424205
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00688900 Issued in NJ
Practice address
707 White Horse Rd Ste C103
Voorhees, NJ 08043-2461
Phone
(844) 542-2273
Fax
(856) 384-0218
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00688900 NJ
Nurse Practitioner 363L00000X 26NJ00688900 NJ Primary

Addresses

Primary practice location

707 White Horse Rd Ste C103
Voorhees, NJ 08043-2461

Mailing address

110 Marter Ave Ste 102
Moorestown, NJ 08057-3124
Phone (856) 235-6565

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
I20170323001395 NJ Practitioner - Nurse Practitioner 0840575395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macaione and Papa Dermatology Associates, PAGroup PAC ID 9537119755, 7 clinicians

Practice addresses (Care Compare)

707 White Horse Rd
Suite C 103
Voorhees, NJ 08043-2461
Phone (856) 627-1900

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macaione & Papa Dermatology Associates, PA CurrentSince Jun 1, 2020 Accepting new patients
Hudson MD Group PastSince Jan 2, 2018 Accepting new patients

Locations

707 White Horse Rd
Ste C103
Voorhees, NJ 08043
Phone (856) 627-1900

Interoperability endpoints

  • Direct secure messaging: rcoughlin@directaddress.net
  • Direct secure messaging: rachelle.coughlin@qdp.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1710424205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE STE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD STE C103",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "844-542-2273",
            "fax_number": "856-384-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "RACHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00688900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00688900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.