Individual provider Active NPI

Gabrielle A Beach, PA-C

  • Physician Assistant
  • Marlton, NJ
National Provider Identifier
1881300168
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00759600 Issued in NJ
Practice address
10000 Sagemore Dr Ste 10101
Marlton, NJ 08053-3944
Phone
(856) 596-0111
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 25MP00759600 NJ Primary

Addresses

Primary practice location

10000 Sagemore Dr Ste 10101
Marlton, NJ 08053-3944

Mailing address

10000 Sagemore Dr Ste 10101
Marlton, NJ 08053-3944
Phone (856) 596-0111

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
I20230425000759 NJ Practitioner - Physician Assistant 8022473123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heymann, Manders, Green and Sommer, LLC.Group PAC ID 3476595505, 14 clinicians

Practice addresses (Care Compare)

10000 Sagemore Dr
Suite 10101
Marlton, NJ 08053-3944
Phone (856) 596-0111

640 S White Horse Pike
Hammonton, NJ 08037-2014
Phone (856) 596-0111

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as group
Quality
95.6
Promoting interoperability
100
Improvement activities
40
Cost
85.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00759600NJMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: gbeach@hmgderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1881300168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SAGEMORE DR STE 10101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533944",
            "telephone_number": "856-596-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SAGEMORE DR STE 10101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533944",
            "telephone_number": "856-596-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "GABRIELLE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00759600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.