Individual provider Active NPI

Teresa L Merola, MSN,RN,PNP-BC

  • Pediatric Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1922580596
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00367500 Issued in NJ
Practice address
1304 Laurel Oak Rd
Voorhees, NJ 08043-4310
Phone
(856) 346-3300
Fax
(856) 346-3462
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00367500 NJ Primary

Addresses

Primary practice location

1304 Laurel Oak Rd
Voorhees, NJ 08043-4310

Mailing address

2106 New Rd Ste F1
Linwood, NJ 08221-1053
Phone (609) 926-5451

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
I20181120000936 NJ Practitioner - Nurse Practitioner 1658625132 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Infections Limited East, PC CurrentSince Sep 22, 2018 Accepting new patients

Locations

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

2106 New Rd
Linwood, NJ 08221
Phone (609) 601-1200

2106 New Rd
Ste F1
Linwood, NJ 08221
Phone (609) 699-5750

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23288/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1922580596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE F1",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211053",
            "telephone_number": "609-926-5451",
            "fax_number": "609-926-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434310",
            "telephone_number": "856-346-3300",
            "fax_number": "856-346-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEROLA",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "MSN,RN,PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00367500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.