Conor T Rhea

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MP00754000 Issued in NJ

Practice address

369 South White Horse Pike
Waterford Works, NJ 08089-0849

Phone

(609) 561-5900

NPI assigned

Aug 2, 2021

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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.

• Gregg a Pearson DO PC

  dba Waterford Family Practice

  • Preferred Provider Organization
  • Waterford Works, NJ
  • NPI 1164621835
  Medicare reassignment

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1801560107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SOUTH WHITE HORSE PIKE P.O. BOX 849",
            "city": "WATERFORD WORKS",
            "state": "NJ",
            "postal_code": "080890849",
            "telephone_number": "609-561-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SOUTH WHITE HORSE PIKE",
            "city": "WATERFORD WORKS",
            "state": "NJ",
            "postal_code": "080890849",
            "telephone_number": "609-561-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEA",
        "first_name": "CONOR",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MP00754000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Barry, RN,CNOR, RNFA
• Christine Burden
• Jessica R Demo, LSW
• Gregg a Pearson DO PC (Waterford Family Practice)
• January Lee Nale, LSW
• Sbarry
• Stephanie A Schmitt, COTA
• Jeanette Short
• Urmajesty Banktruckfit Solutions Inc

• Family Medicine Physician in Waterford Works, NJ
• Providers in Waterford Works, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.