Organization Active NPI

Encore Medical Group PA

  • Nurse Practitioner
  • Somers Point, NJ
National Provider Identifier
1811879836
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Nov 5, 2025

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20260406000539 VA Part B Supplier - Clinic/Group Practice 9032684386 Receives reassigned benefits from 3 practitioners
Practice locations: Richmond, VA
O20260602001881 WI Part B Supplier - Clinic/Group Practice 9032684386 Receives reassigned benefits from 1 practitioner
Practice locations: Delafield, WI
O20260616000866 MI Part B Supplier - Clinic/Group Practice 9032684386 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.