Individual provider Active NPI

Lilia Teresa Nunez Negron, MD

  • Physical Medicine & Rehabilitation Physician
  • Collingswood, NJ
National Provider Identifier
1922647270
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101268326 Issued in VA
Practice address
489 King Ave Apt J3
Collingswood, NJ 08108-1459
Phone
(609) 238-6433
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 0101268326 VA Primary

Addresses

Primary practice location

489 King Ave Apt J3
Collingswood, NJ 08108-1459

Mailing address

489 King Ave Apt J3
Collingswood, NJ 08108-1459
Phone (609) 238-6433

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lilia@metassports.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200212001954 VA Practitioner - Physical Medicine and Rehabilitation 1557797404 Reassigns benefits to 2 organizations
I20231107001653 DC Practitioner - Physical Medicine and Rehabilitation 1557797404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Oct 24, 2023 Accepting new patients
American Current Care PA Single Specialty Current Accepting new patients
GMGP Health Group LLC Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
American Current Care PA Single Specialty CurrentSince Oct 24, 2023 Accepting new patients
American Current Care P.a. Single Specialty CurrentSince Oct 24, 2023 Accepting new patients

Locations

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

95 Medical Park Blvd
Petersburg, VA 23805
Phone (336) 816-2589

4301 W Broad St
Richmond, VA 23230
Phone (804) 358-0361

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1922647270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 KING AVE APT J3",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081459",
            "telephone_number": "609-238-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 KING AVE APT J3",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081459",
            "telephone_number": "609-238-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ NEGRON",
        "first_name": "LILIA",
        "middle_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101268326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lilia@metassports.com",
            "affiliation": "N",
            "address_1": "489 King Ave Apt J3",
            "city": "Collingswood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081081459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

Verify at the official NPI Registry.