Individual provider Active NPI

Magelende S Paviera, MSN, RN, AGNP-NC

  • Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1902581176
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01289300 Issued in NJ
Practice address
2848 S Delsea Dr Ste 2C
Vineland, NJ 08360-7042
Phone
(856) 794-9090
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01289300 NJ Primary

Addresses

Primary practice location

2848 S Delsea Dr Ste 2C
Vineland, NJ 08360-7042

Mailing address

34 Aviary Rd
West Deptford, NJ 08086-3838
Phone (908) 451-5521

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
I20241001003165 NJ Practitioner - Nurse Practitioner 3476084450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senacare LLCGroup PAC ID 6103257571, 21 clinicians
Garden State Spine and RehabilitationGroup PAC ID 0143631283, 7 clinicians

Practice addresses (Care Compare)

1511 Clements Bridge Rd
Deptford, NJ 08096-3007
Phone (856) 513-4124

55 -77 Schanck Rd
Suite B 17
Freehold, NJ 07728-2964
Phone (732) 414-6061

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ01289300NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senacare, LLC CurrentSince Jul 20, 2024 Accepting new patients
Senacare, LLC CurrentSince Jul 20, 2024 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Garden State Spine and Rehabilitation CurrentSince Jun 23, 2025 Accepting new patients
Arthritis & Rheumatology Associates of South Jersey PC PastSince Jun 18, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1981 Old Cuthbert Rd
Cherry Hill, NJ 08034
Phone (856) 428-0685

77 Schanck Rd
Ste B-17
Freehold, NJ 07728
Phone (201) 871-4000

507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

553 Beckett Rd
Ste 500
Swedesboro, NJ 08085

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

6 Commissioners Pike
Woodstown, NJ 08098
Phone (856) 823-6100

Organizations & group practices 5

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 5

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1902581176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 AVIARY RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080863838",
            "telephone_number": "908-451-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DR STE 2C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607042",
            "telephone_number": "856-794-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVIERA",
        "first_name": "MAGELENDE",
        "middle_name": "S",
        "credential": "MSN, RN, AGNP-NC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01289300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.