Individual provider Active NPI

Allendre Lindor, PA-C

  • Physician Assistant
  • Glassboro, NJ
National Provider Identifier
1992104244
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
335 N. Delsea Dr.
Glassboro, NJ 08028
Phone
(856) 451-4700
NPI assigned
Aug 21, 2014
Last updated
May 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2015

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 Primary

Addresses

Primary practice location

335 N. Delsea Dr.
Glassboro, NJ 08028

Mailing address

335 N Delsea Dr.
Glassboro, NJ 08028
Phone (856) 451-4700

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
I20150916001273 NJ Practitioner - Physician Assistant 2264458355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

1255 W Landis Ave
Vineland, NJ 08360-3462
Phone (856) 451-4700

785 W Sherman Ave
Vineland, NJ 08360-6913
Phone (856) 451-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Feb 22, 2017 Accepting new patients
Community Health Care, Inc. CurrentSince Feb 22, 2017 Accepting new patients
Community Health Care, Inc. Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

105 Manheim Ave
Ste 911
Bridgeton, NJ 08302

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

1255 W Landis Ave
Vineland, NJ 08360
Phone (856) 794-2989

785 W Sherman Ave
Vineland, NJ 08360

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

Interoperability endpoints

  • Direct secure messaging: allendre.lindor.p1@direct.cchn.nextgenshare.com

Organizations & group practices 6

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1992104244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N DELSEA DR.",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "08028",
            "telephone_number": "856-451-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N. DELSEA DR.",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "08028",
            "telephone_number": "856-451-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDOR",
        "first_name": "ALLENDRE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

Verify at the official NPI Registry.