NPIMap

Individual provider Active NPI

Edmund J. Decker, D.O.

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1851308779
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB46736 Issued in NJ
Practice address
701 Route 73 N Ste 7
Marlton, NJ 08053
Phone
(856) 810-1800
NPI assigned
Aug 2, 2006
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB46736 NJ Primary

Addresses

Primary practice location

701 Route 73 N Ste 7
Marlton, NJ 08053

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

3820 Church Rd
Mt Laurel, NJ 08054
Phone (856) 727-4774

Other practice location 2

3820 Church Rd
Mt Laurel, NJ 08054
Phone (856) 727-4774

Other identifiers 1

IdentifierTypeStateIssuer
2138905MedicaidNJ

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
I20051116000896 NJ Practitioner - Family Practice 0749209922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

1050 Kings Hwy N
Suite 105
Cherry Hill, NJ 08034-1909
Phone (856) 321-0303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB46736NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine, PC Family Medicine CurrentSince Jan 15, 2024 Accepting new patients
Edmund J Decker DO PA Family Medicine PastSince Jan 1, 1989 Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

141 S Black Horse Pike
Ste 1
Blackwood, NJ 08012
Phone (856) 232-6471

1050 Kings Hwy N
Ste 105
Cherry Hill, NJ 08034
Phone (609) 321-0303

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

701 Route 73 N
Marlton, NJ 08053
Phone (856) 396-8900

701 Route 73 N
Ste 7
Marlton, NJ 08053
Phone (856) 342-2959

110 Marter Ave
Ste 503
Moorestown, NJ 08057
Phone (856) 608-8840

20 S Black Horse Pike
Ste 200
Runnemede, NJ 08078
Phone (856) 962-8840

123 Egg Harbor Rd
Ste 604
Sewell, NJ 08080
Phone (856) 232-6471

Interoperability endpoints

  • Direct secure messaging: edecker29591@direct.cooperhealth.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1851308779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROUTE 73 N STE 7",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-810-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Church Rd",
            "address_purpose": "LOCATION",
            "city": "Mt Laurel",
            "state": "NJ",
            "postal_code": "08054",
            "country_code": "US",
            "telephone_number": "856-727-4774",
            "fax_number": "856-727-4715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3820 Church Rd",
            "address_purpose": "LOCATION",
            "city": "Mt Laurel",
            "state": "NJ",
            "postal_code": "08054",
            "country_code": "US",
            "telephone_number": "856-727-4774",
            "fax_number": "856-727-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "EDMUND",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB46736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.