Individual provider Active NPI

Madelyn Pepe, PA-C

  • Physician Assistant
  • Somers Point, NJ
National Provider Identifier
1861117012
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00742300 Issued in NJ
Practice address
403 Bethel Rd
Somers Point, NJ 08244-2108
Phone
(609) 927-8746
Fax
(609) 653-8807
NPI assigned
Oct 10, 2022
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00742300 NJ Primary

Addresses

Primary practice location

403 Bethel Rd
Somers Point, NJ 08244-2108

Mailing address

403 Bethel Rd
Somers Point, NJ 08244-2108
Phone (609) 927-8746

Other identifiers 1

IdentifierTypeStateIssuer
25MP00742300OtherNJPHYSICIAN ASSISTANT LICENSE

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
I20230125001353 NJ Practitioner - Physician Assistant 6608247937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Urology Group P. a.Group PAC ID 2264434703, 15 clinicians

Practice addresses (Care Compare)

403 Bethel Rd
Somers Point, NJ 08244-2108
Phone 60992787465

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.15 of 100Reported as group
Quality
61.9
Promoting interoperability
97
Improvement activities
40
Cost
67.78

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
82.11
Promoting interoperability
100
Improvement activities
40
Cost
68.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00742300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physicians Associates PA CurrentSince Mar 15, 2023 Accepting new patients

Locations

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

Interoperability endpoints

  • Direct secure messaging: madelyn.pepe.1@4024.direct.athenahealth.com
  • Direct secure messaging: mpepe187478@direct.cooperhealth.edu

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1861117012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442108",
            "telephone_number": "609-927-8746",
            "fax_number": "609-601-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442108",
            "telephone_number": "609-927-8746",
            "fax_number": "609-653-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPE",
        "first_name": "MADELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00742300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "25MP00742300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.