Individual provider Active NPI

Linda L Faragasso, APN

  • Family Nurse Practitioner
  • Ventnor City, NJ
National Provider Identifier
1952060923
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01222100 Issued in NJ
Practice address
6508 Ventnor Ave
Ventnor City, NJ 08406-2177
Phone
(609) 822-3027
Fax
(609) 822-5195
NPI assigned
Dec 16, 2021
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01222100 NJ Primary

Addresses

Primary practice location

6508 Ventnor Ave
Ventnor City, NJ 08406-2177

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (609) 822-3027

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lfaragasso24306@directvirtua.org

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
I20220120001382 NJ Practitioner - Nurse Practitioner 0547652737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

6508 Ventnor Ave
Ventnor City, NJ 08406-2177
Phone (609) 822-3027

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01222100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 12, 2022 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Advocare, LLC CurrentSince Jan 7, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 12, 2022 Accepting new patients
Advocare , LLC CurrentSince Jan 7, 2022 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Marlton, NJ 08053

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

285 S Church St
Ste 1
Moorestown, NJ 08057
Phone (609) 235-6116

6508 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 822-3027

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 1

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1952060923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "609-822-3027",
            "fax_number": "609-822-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 VENTNOR AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062177",
            "telephone_number": "609-822-3027",
            "fax_number": "609-822-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAGASSO",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01222100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfaragasso24306@directvirtua.org",
            "affiliation": "N",
            "address_1": "6508 Ventnor Ave",
            "city": "Ventnor City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "084062177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

Verify at the official NPI Registry.