Active NPI
Encore Medical Group PA
- Nurse Practitioner
- Somers Point, NJ
National Provider Identifier
1811879836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ENCORE MEDICAL GROUP PA
- Practice address
- 731 Bay Ave
Somers Point, NJ 08244-2378 - Phone
- (440) 652-8748
- Fax
- (440) 582-3171
- NPI assigned
- Jul 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Legowski
- Title
- Evp Operations
- Phone
- (609) 703-5097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
731 Bay Ave
Somers Point, NJ 08244-2378
Mailing address
731 Bay Ave
Somers Point, NJ 08244-2378
Phone (440) 652-8748
Other practice location 1
1760 Abbey Rd Fl 2
East Lansing, MI 48823-7301
Phone (440) 652-8748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WI, MI
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
1760 Abbey Rd
Fl 2
East Lansing, MI 48823
Phone (517) 305-2470
731 Bay Ave
Somers Point, NJ 08244
Phone (609) 653-0232
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1811879836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 BAY AVE",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442378",
"telephone_number": "440-652-8748",
"fax_number": "440-582-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 BAY AVE",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442378",
"telephone_number": "440-652-8748",
"fax_number": "440-582-3171"
}
],
"practiceLocations": [
{
"address_1": "1760 Abbey Rd Fl 2",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488237301",
"country_code": "US",
"telephone_number": "440-652-8748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENCORE MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-22",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "LEGOWSKI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "EVP OPERATIONS",
"authorized_official_telephone_number": "609-703-5097"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.