NPIMap

Individual provider Active NPI

Patrick John McGinn, PA

  • Physician Assistant
  • Shrewsbury, NJ
National Provider Identifier
1861868549
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
170 Avenue at the CMN
Suite 6
Shrewsbury, NJ 07702
Phone
(732) 380-0200
NPI assigned
Aug 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 Primary

Addresses

Primary practice location

170 Avenue at the CMN
Suite 6
Shrewsbury, NJ 07702

Mailing address

11350 McCormick Road
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PMcGinn@nspc.emadirect.md

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
I20170327000911 NJ Practitioner - Physician Assistant 4981989332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Pain Centers, LLCGroup PAC ID 0648261792, 4 clinicians

Practice addresses (Care Compare)

170 Ave at the CMN
Suite 6
Shrewsbury, NJ 07702-4568
Phone (732) 380-0200

55 Schanck Rd
Suite a 18
Freehold, NJ 07728-2986
Phone (732) 431-9544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Centers, LLC. CurrentSince Feb 27, 2017 Accepting new patients
Premier Pain Centers, LLC. CurrentSince Feb 27, 2017 Accepting new patients
Premier Pain Centers, LLC. Past Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

55 Schanck Rd
Ste A-18
Freehold, NJ 07728

55 Schanck Rd
Ste 18
Freehold, NJ 07728

167 Avenue At the Cmn
Ste 4
Shrewsbury, NJ 07702
Phone (732) 930-2026

170 Avenue At the Cmn
Ste 6
Shrewsbury, NJ 07702
Phone (732) 460-0045

1430 Hooper Ave
Ste 205
Toms River, NJ 08753
Phone (410) 329-1070

Interoperability endpoints

  • Direct secure messaging: pmcginn@nspc.emadirect.md

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 8

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1861868549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AVENUE AT THE CMN",
            "address_2": "SUITE 6",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-380-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINN",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PMcGinn@nspc.emadirect.md",
            "affiliation": "N",
            "address_1": "170 Avenue At The Cmn",
            "address_2": "Suite 6",
            "city": "Shrewsbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.